Eddie Tessnear is a Psychologist in Wilson, North Carolina. Eddie Tessnear practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Eddie Tessnear is 1104044619. The last update date is 2011-01-24.
Eddie Tessnear's current location address is 2403 Wooten Blvd Sw, Wilson, North Carolina. You can contact this provider via phone number 2522911100. The mailing address for Eddie Tessnear is 2403 Wooten Blvd Sw, Wilson, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eddie Tessnear |
|---|---|
| Address | 2403 Wooten Blvd Sw, Wilson, North Carolina |
| Phone Number | 2522911100 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LICENSED P |
|---|---|
| Authorized Official Name | Tessnear Stuart Eddie |
| Credentials | PH.D. |
| Telephone Number | 2522911100 |
NPI Number Detail
| NPI Number | 1104044619 |
|---|---|
| Provider Enumeration Date | 2007-04-22 |
| Last Updated Date | 2011-01-24 |
Provider Mailing Address Detail
| Address | 2403 Wooten Blvd Sw |
|---|---|
| City | Wilson |
| State | North Carolina (NC) |
| Post Code | 278934463 |
| Phone Number | 2522911100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1506 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0267L | NC | BLUE CROSS BLUE SHIELD NC | |
| 6005109 | NC | -- |
Post Comment/ Review Below
What is the Eddie Tessnear's unique identification number?
The Eddie Tessnear has been assigned the NPI (National Provider Identifier) Number 1104044619 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Eddie Tessnear is located?
The Eddie Tessnear is situated at the following address: 2403 Wooten Blvd Sw, Wilson, NC, 278934463.
What is the Eddie Tessnear's specialty and taxonomy code?
The Eddie Tessnear's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104044619 to Eddie Tessnear?
The Centers for Medicare & Medicaid Services originally issued the 1104044619 to Eddie Tessnear on 2007-04-22.
As of what date were the details pertaining to Eddie Tessnear last refreshed?
The information related to the Eddie Tessnear, including its address, specialty, and other relevant details, was last updated on 2011-01-24.
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