Individual
EMMA DERMAN TEITEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7876 N FOOTHILLS HWY, BOULDER, CO 80302-9325
(617) 935-4050
Mailing address
7876 N FOOTHILLS HWY, BOULDER, CO 80302-9325
(617) 935-4050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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