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NPI Code Detail

MEDICARE: MRS. BOBBI J. TERRY LCSW

MEDICARE:  MRS. BOBBI J. TERRY  LCSW
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
1101YM0800XMental Health CounselorR036230-1NY

General Provider Information

NPI Number : 1831278100
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BOBBI J. TERRY LCSW
Provider Business Mailing Address
First Line : PO BOX 1658
Second Line :
City : PLATTSBURGH
State : NY
Zip : 12901-0230
Country : US
Telephone Number : 518-645-6113
Fax Number :
Provider Business Practice Location Address
First Line : 22 US OVAL STE 123
Second Line :
City : PLATTSBURGH
State : NY
Zip : 12903-5901
Country : US
Telephone Number : 518-645-6113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 05/16/2024

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Directions to “ MRS. BOBBI J. TERRY LCSW” Practice Location

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