| NPI | 1225048671 |
|---|---|
| Professional Name | PETER THOMAS TEALL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 11606) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 071006-1) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-07-08 |