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NPI Code Detail

MEDICARE: DR. CALLIE ROSE TEUFERT PSYD

MEDICARE: DR. CALLIE ROSE TEUFERT PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPS020662PA

General Provider Information

NPI Number : 1053145680
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CALLIE ROSE TEUFERT PSYD
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE
Second Line :
City : DANVILLE
State : PA
Zip : 17822-4903
Country : US
Telephone Number : 570-271-6516
Fax Number : 570-274-5814
Provider Business Practice Location Address
First Line : 9 STEARNS LN
Second Line :
City : DANVILLE
State : PA
Zip : 17821-8850
Country : US
Telephone Number : 570-271-6516
Fax Number : 570-274-5814
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2024
Last Update Date : 01/05/2026

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