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General NPI Number Information
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NPI Number | 1437806593
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Entity Type | Organization
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Legal Business Name | DR T CORREIA LLC
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Dates
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Enumeration Date | 03/08/2022
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 1563 POSTAL RD STE 3D
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City | CHESTER
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State | MD
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Zip | 21619-2318
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Country | US
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Telephone | 571-210-5022
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Fax | 571-210-6012
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Provider Business Mailing Address
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Address Line | PO BOX 113
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City | CHESTER
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State | MD
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Zip | 21619-0113
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Country | US
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Telephone | 571-210-5022
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Fax | 571-210-6012
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. TERESA DIANNE CORREIA
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Credential | PSY.D.
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Telephone | 571-969-2367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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