DR. THERESA ANNE FAULKNER


Address: 135 Pine St, Suite B, Buffalo, WY 82834-2332
Phone: 3076845828

DR. THERESA ANNE FAULKNER (NPI# 1104807593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104807593
Entity Type Individual
Full Name DR. THERESA ANNE FAULKNER
Credential PH.D.
Practice Address 135 Pine St
Suite B
Buffalo
WY 82834-2332
Practice Telephone 3076845828
Practice Fax Number 3076845803
Mailing Telephone 3076845828
Mailing Fax Number 3076845803
Enumeration Date 2005-11-11
Last Update Date 2008-12-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
#268 WY Behavioral Health & Social Service Providers

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Office Location

Street Address 135 PINE ST
SUITE B
City BUFFALO
State WY
Zip Code 82834-2332

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1194248625 Thales Christian Haskell Dentist 1001 Eagle View Dr, Buffalo, WY 82834-1417 2017-07-17
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427683630 Colleen Adams Psychologist 816 Elmwood Ave, Buffalo, NY 14222-1442 2020-03-09
1104488196 Julie Gass Psychologist 3495 Bailey Ave # 116n, Buffalo, NY 14215-1129 2019-07-01
1942589411 Emily Ets-hokin Psychologist 1985 Delaware Ave, 2b, Buffalo, NY 14216-3570 2011-08-15
1710122908 Abintra Psychological Associates, LLC Psychologist 135 Pine St Ste B, Buffalo, WY 82834-2332 2008-12-02
1487843488 Rolf Edward Sovik Psychologist 841 Delaware Ave, Buffalo, NY 14209-2007 2007-10-16
1003034992 Peter Alex Cogswell Psychologist 1028 Main Street, Children's Psychiatry Clinic, Buffalo, NY 14202 2007-04-23
1528199189 J. Lynnette Wee Psychologist 677 W Ferry St, Buffalo, NY 14222-1605 2007-03-07
1972696359 Arlene Burrows Psychologist 6024 Main St, Buffalo, NY 14221-6833 2006-09-30
1407864549 Jonathan L. Wilson Treible Psychologist 719 Englewood Ave, Buffalo, NY 14223-2406 2006-08-04
1083635114 Frank M Sturniolo Jr. Psychologist 796 Niagara Falls Blvd, Buffalo, NY 14223-1838 2006-07-22
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Competitor

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City BUFFALO
Zip Code 82834

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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