Phelan, Teresa

Phelan, Teresa is an individual health care provider with primary practice located at Umass Memorial Medical Center 55 Lake Avenue North, Psychiatry, Worcester MA 01655. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Phelan, Teresa can be contacted via phone (508) 334-1000.

Contact Information

Primary practice address
Umass Memorial Medical Center 55 Lake Avenue North, Psychiatry Worcester MA 01655
Phone: (508) 334-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 0148RC Massachusetts

Profile Details

NPI number 1275143646
LBN Legal business name Phelan, Teresa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2020
Last updated Jul 31st, 2020 - about 6 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 1275143646 NPPES
Massachusetts Other 0148RC RECOVERY COACH CERTIFICATION

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