Individual
TERESA LEIGH DESHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
01232
MO
103TC0700X
Clinical Psychologist
Primary
01232
MO
103TH0004X
Health Psychologist
01232
MO
Other
Enumeration date
05/10/2007
Last updated
10/10/2019
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