Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 32971 | TX |
NPI | 1043319718 |
---|---|
Provider Name | Dr. Terri Creamer |
First Address | Rockwall, TX 75087-5131 |
Second Address | Rockwall, TX 75087-5131 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 23/05/2013 |