Provider Demographics
NPI:1043319718
Name:CREAMER, TERRI (PHD)
Entity Type:Individual
Prefix:DR
First Name:TERRI
Middle Name:
Last Name:CREAMER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2249 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-5131
Mailing Address - Country:US
Mailing Address - Phone:469-402-0762
Mailing Address - Fax:
Practice Address - Street 1:2249 RIDGE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-5131
Practice Address - Country:US
Practice Address - Phone:469-402-0762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32971103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8J2389Medicare PIN