Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
Y | 103G00000X | Clinical Psychologist | B1-0000420 | DE |
Y | 103TC0700X | Clinical Psychologist | B1-0000420 | DE |
N | 103TH0004X | Health Psychologist |
NPI | 1114172814 |
---|---|
Provider Name | Dr. Teresa Marie Cozza |
First Address | Clayton, DE 19938-3142 |
Second Address | Clayton, DE 19938-3142 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2008 |
Last Update Date | 21/11/2008 |