Tessa J Coltrin in Springfield - Professional

Tessa J Coltrin - NPI 1255512778

Tessa J Coltrin is a Professional in Springfield, Missouri. Tessa J Coltrin practices all healthcare services and medical treatments related to Professional. The NPI Number for Tessa J Coltrin is 1255512778. The last update date is 2019-10-17.

Tessa J Coltrin's current location address is 3800 S National Ave Ste 770, Springfield, Missouri. You can contact this provider via phone number 4172696891 and fax number 4172695595. The mailing address for Tessa J Coltrin is 3800 S National Ave Ste 770, Springfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Tessa J Coltrin
Address 3800 S National Ave Ste 770, Springfield, Missouri
Phone Number 4172696891
Fax Number 4172695595
Sole Proprietor N
Credentials PSY.D.

NPI Number Detail

NPI Number 1255512778
Provider Enumeration Date 2007-11-27
Last Updated Date 2019-10-17

Provider Mailing Address Detail

Address 3800 S National Ave Ste 770
City Springfield
State Missouri (MO)
Post Code 658075283
Phone Number 4172696891
Fax Number 4172695595

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 2009010491
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
431560263 MO TRICARE
197065719 AR --
P01173068 MO RR MCR
1255512778 MO --

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FAQs about Tessa J Coltrin

What is the unique provider identifier assigned to Tessa J Coltrin?

The Tessa J Coltrin has been issued the NPI (National Provider Identifier) 1255512778 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Tessa J Coltrin's facilities are situated?

The facilities of Tessa J Coltrin are physically located at the following address: 3800 S National Ave Ste 770, Springfield, MO, 658075283.

What is Tessa J Coltrin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Tessa J Coltrin is Professional, and the taxonomy code that classifies this field of practice is 101Yp2500X.

When did the Tessa J Coltrin receive its 1255512778?

The Tessa J Coltrin was issued its 1255512778 on 2007-11-27, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Tessa J Coltrin last refreshed?

The information related to the Tessa J Coltrin, including its address, specialty, and other relevant details, was last updated on 2019-10-17.

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