Vannatta, Teresa Lynn

Vannatta, Teresa Lynn is an individual health care provider with primary practice located at 4607 N Wheeling Ave , Muncie IN 47304. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Vannatta, Teresa Lynn can be contacted via phone (765) 288-1110.

Contact Information

Primary practice address
4607 N Wheeling Ave Muncie IN 47304
Phone: (765) 288-1110
Fax: (765) 288-4044
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20040646A Indiana

Profile Details

NPI number 1740230465
LBN Legal business name Vannatta, Teresa Lynn
Credentials PHD HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740230465 NPPES
Other 000000299448 ANTHEM BCBS
Other 9999998666 ANTHEM BCBS
Other 256942 ANTHEM BCBS

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