Healthcare Provider Details

I. General information

NPI: 1235384926
Provider Name (Legal Business Name): TERRI LYNN TURCHAN LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TERRI LYNN KATZAMAN LCSW-C

II. Dates (important events)

Enumeration Date: 11/21/2008
Last Update Date: 11/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 TUSKEGEE DOVER AIRFORCE BASE
DOVER DE
19902-2849
US

IV. Provider business mailing address

15552 BLANCHARD RD
BRIDGEVILLE DE
19933-2849
US

V. Phone/Fax

Practice location:
  • Phone: 302-677-2711
  • Fax:
Mailing address:
  • Phone: 302-337-0448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number11628
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: