Shirley, Terry Lynn
Shirley, Terry Lynn is an individual health care provider with primary practice located at 1112 Linden St , Cape Girardeau MO 63703-7707. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shirley, Terry Lynn can be contacted via phone (573) 334-5513.Contact Information
Primary practice address
1112 Linden St
Cape Girardeau MO 63703-7707
Phone: (573) 334-5513
Fax: (573) 334-0312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2013033736 | Missouri |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801115644 | Michigan |
Profile Details
| NPI number | 1407148364 |
|---|---|
| LBN Legal business name | Shirley, Terry Lynn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2011 |
| Last updated | Jan 30th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407148364 | NPPES |
| Missouri | Other | 1407148364 | NPI |
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