Redfearn, Teresa W

Redfearn, Teresa W is an sole proprietor health care provider with primary practice located at 122 E Home Ave , Hartsville SC 29550-3712. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Redfearn, Teresa W can be contacted via phone (843) 917-0495.

Contact Information

Primary practice address
122 E Home Ave Hartsville SC 29550-3712
Phone: (843) 917-0495
Fax: (864) 751-4179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 4605 South Carolina
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4605

Profile Details

NPI number 1053674143
LBN Legal business name Redfearn, Teresa W
Credentials MS, LPES, NCSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2012
Last updated May 15th, 2024 - about 2 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 1053674143 NPPES
South Carolina Other 45-5198811 EPI
South Carolina MEDICAID 4605 EPI
South Carolina Other 1265847255 EPI

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