Wallop, Teonna L
Wallop, Teonna L is an sole proprietor health care provider with primary practice located at 1711 Brightwell Ct , Waldorf MD 20602-1634. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wallop, Teonna L can be contacted via phone (301) 850-1121.Contact Information
Primary practice address
1711 Brightwell Ct
Waldorf MD 20602-1634
Phone: (301) 850-1121
Fax: (301) 850-1121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LC4121 | Maryland |
Profile Details
| NPI number | 1548789993 |
|---|---|
| LBN Legal business name | Wallop, Teonna L |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 18th, 2017 |
| Last updated | Sep 18th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548789993 | NPPES |
| Maryland | MEDICAID | D962945 |
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