Slack, Teresa Lee

Slack, Teresa Lee is an sole proprietor health care provider with primary practice located at 928 12Th St , Greeley CO 80631-4024. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Slack, Teresa Lee can be contacted via phone (970) 347-2120.

Contact Information

Primary practice address
928 12Th St Greeley CO 80631-4024
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1427548221
LBN Legal business name Slack, Teresa Lee
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2018
Last updated May 16th, 2018 - about 8 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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