NPI | 1801686167 |
---|---|
Doing Business As | TATUM D. TEEPLE, MS, MLP |
Entity Type | Organization |
Authorized Contact | TATUM DAYE TEEPLE Sole Member 567-525-0050 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Enumeration Date | 2025-05-09 |
Last Update Date | 2025-05-28 |