Provider Demographics
NPI:1962706648
Name:AARON, TERRY LEE (PHD, MSW, LBT)
Entity type:Individual
Prefix:DR
First Name:TERRY
Middle Name:LEE
Last Name:AARON
Suffix:
Gender:M
Credentials:PHD, MSW, LBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 GETTYSBURG RD
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62226-5404
Mailing Address - Country:US
Mailing Address - Phone:314-266-8055
Mailing Address - Fax:618-671-6574
Practice Address - Street 1:209 GETTYSBURG RD
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62226-5404
Practice Address - Country:US
Practice Address - Phone:314-266-8055
Practice Address - Fax:618-671-6574
Is Sole Proprietor?:No
Enumeration Date:2011-01-10
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXA1139103TC1900X
103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling