Individual
DR. THERESA A PRESCOTT
Active
Individual
DR. THERESA A PRESCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
OS12864
FL
2084P0804X
Child & Adolescent Psychiatry Physician
25MB07287700
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
OS 009024 L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
OS12864
FL
Other
Enumeration date
01/20/2007
Last updated
12/15/2021
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