Teitsma, Jack A

Teitsma, Jack A is an individual health care provider with primary practice located at 1616 Ponte Leone Ln , League City TX 77573-5067. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Teitsma, Jack A can be contacted via phone (630) 386-5106.

Contact Information

Primary practice address
1616 Ponte Leone Ln League City TX 77573-5067
Phone: (630) 386-5106
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 34453 Texas

Profile Details

NPI number 1831327196
LBN Legal business name Teitsma, Jack A
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2009
Last updated Dec 11th, 2011 - about 14 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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