Lively, Teresa Jean

Lively, Teresa Jean is an individual health care provider with primary practice located at 5755 Cottle Rd , San Jose CA 95123-3640. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Lively, Teresa Jean can be contacted via phone (408) 363-4904.

Contact Information

Primary practice address
5755 Cottle Rd San Jose CA 95123-3640
Phone: (408) 363-4904
Fax: (408) 972-3242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20059 California

Profile Details

NPI number 1972665198
LBN Legal business name Lively, Teresa Jean
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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