Teri Leann Bourdeau is a Clinical in Tulsa, Oklahoma. Teri Leann Bourdeau practices all healthcare services and medical treatments related to Clinical. The NPI Number for Teri Leann Bourdeau is 1811051238. The last update date is 2014-02-20.
Teri Leann Bourdeau's current location address is 2345 Southwest Blvd, Tulsa, Oklahoma. You can contact this provider via phone number 9185618383 and fax number 9185618546. The mailing address for Teri Leann Bourdeau is 2345 Southwest Blvd, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teri Leann Bourdeau |
|---|---|
| Address | 2345 Southwest Blvd, Tulsa, Oklahoma |
| Phone Number | 9185618383 |
| Fax Number | 9185618546 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1811051238 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2014-02-20 |
Provider Mailing Address Detail
| Address | 2345 Southwest Blvd |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741072705 |
| Phone Number | 9185618383 |
| Fax Number | 9185618546 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1009 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200078120A | OK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Teri Leann Bourdeau by the Centers for Medicare & Medicaid Services (CMS)?
The Teri Leann Bourdeau has been assigned the NPI (National Provider Identifier) 1811051238. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Teri Leann Bourdeau?
The Teri Leann Bourdeau is physically situated at 2345 Southwest Blvd, in the city of Tulsa, state of OK, with the postal code 741072705.
What is Teri Leann Bourdeau's area of expertise and its corresponding taxonomy classification?
The Teri Leann Bourdeau's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Teri Leann Bourdeau receive its 1811051238 assignment from the Centers for Medicare & Medicaid Services?
The Teri Leann Bourdeau was assigned its 1811051238 by the Centers for Medicare & Medicaid Services on 2006-12-20.
As of what date were the Teri Leann Bourdeau's details last updated?
The information pertaining to the Teri Leann Bourdeau, including its address, specialty, and other details, was most recently updated on 2014-02-20.
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