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Individual

DR. TEDD R. HABBERFIELD

Active
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Individual

DR. TEDD R. HABBERFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
011033
NY
103TB0200X
Cognitive & Behavioral Psychologist
011033
NY
103TC0700X
Clinical Psychologist
Primary
011033
NY
103TF0000X
Family Psychologist
011033
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000511263001
HEALTH NOW
NY
01
—
20207801
EXCELLUS HEALTH
NY
01
—
6104050
INDEPENDENT HEALTH
NY
Enumeration date
11/08/2005
Last updated
09/23/2011
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