John A Teal PH.D.

NPI 1669640777 - Psychologist - 103TC0700X

NPI Details
NPI 1669640777
Gender Male
Enumeration Date 02/12/2008
Last Updated 06/04/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
633 ASBURY DR
SUITE A
MANDEVILLE LA, 70471-6511, US
Phone (601) 946-1844
Fax
Business Location
618 EAGLE AVE
JACKSON MS, 39206-5821, US
Phone (601) 946-1844
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Mississippi
License Number 47818
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According to our database, Dr. John A Teal PH.D. NPI is 1669640777, taxonomy code is 103TC0700X and license number is 47818, license state is located at Mississippi. John A Teal PH.D. physically located at 633 Asbury Dr, Mandeville LA, 70471-6511. NPI Number John A Teal PH.D. has the Individual type.

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1669640777 NPI number is provided on an as is basis without warranty of any kind. 1669640777 is maintained by the National Plan & Provider Enumeration System. The contents of John A Teal PH.D. are for informational purposes only.