Teresa W Redfearn
Psychologist Cognitive & Behavioral Psychologist Intellectual & Developmental Disabilities
122 E Home Ave
Hartsville
, South Carolina 29550-3712
Teresa W Redfearn
Psychologist Cognitive & Behavioral Psychologist Intellectual & Developmental Disabilities
122 E Home Ave
Hartsville
, South Carolina 29550-3712
(864) 751-4179
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About
Features
Specialties
- Psychologist
- Cognitive & Behavioral Psychologist
- Intellectual & Developmental Disabilities
Languages spoken
- English
Location
First Address
- Teresa W Redfearn
- Po Box 1257
- Hartsville, SC
- Zip : 29551-1257
- Fax : (864) 751-4179
- Phone : (843) 917-0495
Second Address
- Teresa W Redfearn
- 122 E Home Ave
- Hartsville, SC
- Zip : 29550-3712
- Fax : (864) 751-4179
- Phone : (843) 917-0495
Reviews
FAQs
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Is Teresa W Redfearn a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 4605 | |
| Y | 103T00000X | Psychologist | 4605 | |
| N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
| N | 103TM1800X | Intellectual & Developmental Disabilities | 4605 | SC |
National Provider Identifier
| NPI | 1053674143 |
|---|---|
| Provider Name | Teresa W Redfearn |
| First Address | Hartsville, SC 29551-1257 |
| Second Address | Hartsville, SC 29550-3712 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2012 |
| Last Update Date | 17/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1265847255 | GROUP NPI (01) | SC |
| 45-5198811 | EPI (01) | SC |
| 4605 | (05) | SC |
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.