Mayland, Terilyn

Mayland, Terilyn is an individual health care provider with primary practice located at 1841 Madora Ave , Douglas WY 82633-3057. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mayland, Terilyn can be contacted via phone (307) 358-2846.

Contact Information

Primary practice address
1841 Madora Ave Douglas WY 82633-3057
Phone: (307) 358-2846
Fax: (307) 358-5329
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X PAT-065 Wyoming
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAP-184 Wyoming

Profile Details

NPI number 1548681810
LBN Legal business name Mayland, Terilyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2014
Last updated Mar 17th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548681810 NPPES
Wyoming MEDICAID 1225003023
Wyoming MEDICAID 1932229523

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