THERESA M QUINN (NPI# 1396864088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396864088 |
| Entity Type | Individual |
| Full Name | THERESA M QUINN |
| Other Name | TERRI M QUINN |
| Credential | PH.D. |
| Practice Address |
555 Chorro St Ste A2 San Luis Obispo CA 93405-2396 |
| Practice Telephone | 8055410203 |
| Mailing Telephone | 8055410203 |
| Mailing Fax Number | 8055447898 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2019-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY9673 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE CROSS OF CA PR ID | PSY9673 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083730147 | Theresa Quinn | Marriage & Family Therapist | 17340 W 12 Mile Rd, #105, Southfield, MI 48076-2122 | 2007-03-21 |
| 1821040528 | Theresa M Quinn | Surgery | 9200 W Wisconsin Ave, General Surgery, Milwaukee, WI 53226-3522 | 2006-05-17 |
| Street Address |
555 CHORRO ST STE A2 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93405-2396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164076626 | Hilary Abbott Anderson | Physician Assistant | 127 Casa St., San Luis Obispo, CA 93405 | 2019-08-01 |
| 1811465834 | Fatemeh Ladan Ahmadinia | Dentist | 764 N Santa Rosa St, San Luis Obispo, CA 93405 | 2018-11-07 |
| 1538559794 | Arnold Martin Horwitz | Marriage & Family Therapist | 1605 Garnette Drive, San Luis Obispo, CA 93405 | 2015-01-27 |
| 1750794764 | Solmaz Naghsh | Pharmacist | 765 Foothill Blvd, San Luis Obispo, CA 93405 | 2014-06-06 |
| 1609293471 | Robert S. Flores Dmd, Inc | Dentist | 878 Boysen Avenue, San Luis Obispo, CA 93405 | 2014-03-18 |
| 1457776445 | Laura Anne Wilvert | Marriage & Family Therapist | 793 E. Foothill Blvd, Suite A, #278, San Luis Obispo, CA 93405 | 2014-02-27 |
| 1497181200 | Tracey Ruby Madrigal | Counselor | 1106 Oceanaire Dr. #25, San Luis Obispo, CA 93405 | 2013-09-25 |
| 1437597572 | Sarah Michelle Brenis | Counselor | 524 Princeton Place, San Luis Obispo, CA 93405 | 2013-06-11 |
| 1013350974 | Jenna Rose Ramos | Counselor | 1459 Descanso St., San Luis Obispo, CA 93405 | 2013-04-10 |
| 1700140696 | Christopher Dieterich Marchand | Social Worker | 793a E. Foothill Blvd, 190, San Luis Obispo, CA 93405 | 2012-06-26 |
| Find all providers in zip 93405 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291007 | Kerianne Elizabeth Ditomasso | Psychologist | 1551 Bishop St Ste A-130, San Luis Obispo, CA 93401-4635 | 2020-07-01 |
| 1366949943 | Lisa Slover | Psychologist | 1530 Monterey St Ste A, San Luis Obispo, CA 93401-2969 | 2018-04-10 |
| 1376991315 | Karin Kerstin Gutierrez | Psychologist | 1107 Johnson Avenue, San Luis Obispo, CA 93401 | 2016-06-01 |
| 1225411614 | Stephen Theodore Bobey Jr. | Psychologist | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2015-07-02 |
| 1760884670 | Robert Ryan | Psychologist | 1 Hwy 1, San Luis Obispo, CA 93409-8101 | 2014-09-23 |
| 1194135772 | Sarah Chisholm | Psychologist | California Mens Colony Highway 1 N, Dq Mental Health Building, San Luis Obispo, CA 93409-8101 | 2014-05-05 |
| 1699198689 | Cynthia Mccabe | Psychologist | California Mens Colony Mental Health, Hwy 1 North, Box 8101, San Luis Obispo, CA 93409-8101 | 2014-01-27 |
| 1164854139 | James Brian Fishback | Psychologist | 4421 Brookpine Dr, San Luis Obispo, CA 93401-7802 | 2013-08-01 |
| 1184967226 | Deserie R Barragan | Psychologist | D Facility Highway 1, Department of Corrections and Rehabilitation, San Luis Obispo, CA 93403 | 2013-03-27 |
| 1811234297 | Barbara Y Mair | Psychologist | Hwy 1 N, San Luis Obispo, CA 93409-0001 | 2013-01-06 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93405 |
Please comment or provide details below to improve the information on THERESA M QUINN.
| 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.