Todd, Theriault Jeanne

Todd, Theriault Jeanne is an sole proprietor health care provider with primary practice located at 9940 Talbert Ave Suite 100, Fountain Valley CA 92708-5153. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Todd, Theriault Jeanne can be contacted via phone (714) 369-7012.

Contact Information

Primary practice address
9940 Talbert Ave Suite 100 Fountain Valley CA 92708-5153
Phone: (714) 369-7012
Fax: (714) 939-7720
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY14108 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY14108 California
Behavioral Health & Social Service Providers / Health 103TH0004X PSY14108 California

Profile Details

NPI number 1952621351
LBN Legal business name Todd, Theriault Jeanne
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2010
Last updated Jul 14th, 2010 - about 16 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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