Dr. Nicole A Tefera
Psychologist Clinical Child & Adolescent Psychologist
16624 Luella Ave
South Holland
, Illinois 60473-2617
Dr. Nicole A Tefera
Psychologist Clinical Child & Adolescent Psychologist
16624 Luella Ave
South Holland
, Illinois 60473-2617
(708) 466-5247
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About
Features
Specialties
- Psychologist
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Nicole A Tefera
- 16624 Luella Ave
- South Holland, IL
- Zip : 60473-2617
- Phone : (708) 466-5247
Second Address
- Dr. Nicole A Tefera
- 16624 Luella Ave
- South Holland, IL
- Zip : 60473-2617
- Phone : (708) 466-5247
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Is Dr. Nicole A Tefera a sole practitioner?
Is Dr. Nicole A Tefera accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | 071007772 | IL |
| N | 103T00000X | Psychologist | 071007772 | IL |
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 071007772 | IL |
National Provider Identifier
| NPI | 1063735991 |
|---|---|
| Provider Name | Dr. Nicole A Tefera |
| First Address | South Holland, IL 60473-2617 |
| Second Address | South Holland, IL 60473-2617 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/03/2010 |
| Last Update Date | 05/03/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.