Individual
DR. THERESA JEAN SOUCIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
270 HUTTLESTON AVE, FAIRHAVEN, MA 02719-1605
(508) 997-9100
(508) 993-5854
Mailing address
270 HUTTLESTON AVE, FAIRHAVEN, MA 02719-1605
(508) 997-9100
(508) 993-5854
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
111NR0400X
Rehabilitation Chiropractor
Primary
DC-2870
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3649556
AETNA
MA
01
—
44-00351
UNITED HEALTH CARE
MA
01
—
469514
TUFTS
MA
01
—
AA13010
HARVARD PILGRIM
MA
01
—
Y37022
BLUE CROSS
MA
01
—
Y4570602
MEDICARE ACTIVE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
MI
Enumeration date
11/10/2006
Last updated
02/07/2024
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