Teall, Peter Thomas
Teall, Peter Thomas is an sole proprietor health care provider with primary practice located at 496 White Spruce Blvd , Rochester NY 14623-1608. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Teall, Peter Thomas can be contacted via phone (585) 305-8759.Contact Information
Primary practice address
496 White Spruce Blvd
Rochester NY 14623-1608
Phone: (585) 305-8759
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 11606 | New York |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 071006-1 | New York |
Profile Details
| NPI number | 1225048671 |
|---|---|
| LBN Legal business name | Teall, Peter Thomas |
| Credentials | LCSW-R, CASAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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