Provider Demographics
NPI:1124372065
Name:CREAMER, TERRI DENISE (MS)
Entity Type:Individual
Prefix:MRS
First Name:TERRI
Middle Name:DENISE
Last Name:CREAMER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4880 E MICHIGAN ST
Mailing Address - Street 2:APT. 6
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-5415
Mailing Address - Country:US
Mailing Address - Phone:407-232-4659
Mailing Address - Fax:
Practice Address - Street 1:4880 E MICHIGAN ST
Practice Address - Street 2:APT. 6
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-5415
Practice Address - Country:US
Practice Address - Phone:407-232-4659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-30
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor