Provider Demographics
NPI:1306175427
Name:TEODORI, ANNEMARIE (MS, EDS, NCSP)
Entity type:Individual
Prefix:
First Name:ANNEMARIE
Middle Name:
Last Name:TEODORI
Suffix:
Gender:F
Credentials:MS, EDS, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1972 SUSQUEHANNA RD
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-4516
Mailing Address - Country:US
Mailing Address - Phone:215-837-0779
Mailing Address - Fax:
Practice Address - Street 1:1972 SUSQUEHANNA RD
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-4516
Practice Address - Country:US
Practice Address - Phone:215-837-0779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-19
Last Update Date:2009-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health