Kelly Lee Teeples in Fort Lauderdale - Cognitive & Behavioral
Kelly Lee Teeples - NPI 1093789828
Kelly Lee Teeples is a Cognitive & Behavioral in Fort Lauderdale, Florida. Kelly Lee Teeples practices all healthcare services and medical treatments related to Cognitive & Behavioral. The NPI Number for Kelly Lee Teeples is 1093789828. The last update date is 2013-09-12.
Kelly Lee Teeples's current location address is 1483 Sw 18th Ter, Fort Lauderdale, Florida. You can contact this provider via phone number 7864231637. The mailing address for Kelly Lee Teeples is 1483 Sw 18th Ter, Fort Lauderdale, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Lee Teeples |
|---|---|
| Address | 1483 Sw 18th Ter, Fort Lauderdale, Florida |
| Phone Number | 7864231637 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MS IN EDUC |
NPI Number Detail
| NPI Number | 1093789828 |
|---|---|
| Provider Enumeration Date | 2006-02-16 |
| Last Updated Date | 2013-09-12 |
Provider Mailing Address Detail
| Address | 1483 Sw 18th Ter |
|---|---|
| City | Fort Lauderdale |
| State | Florida (FL) |
| Post Code | 333124128 |
| Phone Number | 7864231637 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Cognitive & Behavioral |
|---|---|
| Taxonomy | 103Tb0200X |
| Licence No | 1-04-1677 |
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Definition: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 689927798 | FL | -- | |
| 689927796 | FL | -- |
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What is the Kelly Lee Teeples's unique identification number?
The Kelly Lee Teeples has been assigned the NPI (National Provider Identifier) Number 1093789828 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Kelly Lee Teeples?
The Kelly Lee Teeples is situated at 1483 Sw 18Th Ter, in the city of Fort Lauderdale, state of FL, with the zip code 333124128.
What is Kelly Lee Teeples's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly Lee Teeples's specialized field of practice is Cognitive & Behavioral, and the corresponding taxonomy code that categorizes this area of specialization is 103Tb0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1093789828 to Kelly Lee Teeples?
The Kelly Lee Teeples received its 1093789828 assignment from the Centers for Medicare & Medicaid Services on 2006-02-16.
When was the information regarding Kelly Lee Teeples, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kelly Lee Teeples, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-09-12.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC