Individual
DAVID TELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4819
(216) 320-8369
Mailing address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4819
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1600808-TRNE
OH
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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