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NPI Code Detail

MEDICARE: MS. TERRI LEE BARTLETT LCSW

MEDICARE: MS. TERRI LEE BARTLETT 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
11041C0700XClinical Social Worker25475TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912061847
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TERRI LEE BARTLETT LCSW
Provider Business Mailing Address
First Line : 4131 S BRAESWOOD BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77025-3306
Country : US
Telephone Number : 713-667-9336
Fax Number : 713-667-3619
Provider Business Practice Location Address
First Line : 4131 S BRAESWOOD BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77025-3306
Country : US
Telephone Number : 713-667-9336
Fax Number : 713-861-4021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2006
Last Update Date : 09/13/2012

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