Individual
MRS. HEATHER ANNE TEAGUE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA, LPA
Contact information
Practice address
425 7TH AVE SW, HICKORY, NC 28602-3237
(828) 327-6633
(828) 327-3385
Mailing address
425 7TH AVE SW, HICKORY, NC 28602-3237
(828) 327-6633
(828) 327-3385
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2365
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107059
—
NC
Enumeration date
09/14/2005
Last updated
07/09/2007
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