| NPI | 1578046611 |
|---|---|
| Former Name | TERESA K SPENCER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 7851) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 7851) |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2023-09-08 |