Provider Demographics
NPI:1235384926
Name:TURCHAN, TERRI LYNN (LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:TERRI
Middle Name:LYNN
Last Name:TURCHAN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:MRS
Other - First Name:TERRI
Other - Middle Name:LYNN
Other - Last Name:KATZAMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:15552 BLANCHARD RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:DE
Mailing Address - Zip Code:19933-2849
Mailing Address - Country:US
Mailing Address - Phone:302-337-0448
Mailing Address - Fax:
Practice Address - Street 1:300 TUSKEGEE
Practice Address - Street 2:DOVER AIRFORCE BASE
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19902-2849
Practice Address - Country:US
Practice Address - Phone:302-677-2711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD116281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD11628OtherSTATE OF MARYLAND