Provider Demographics
NPI:1306035852
Name:SPEIGNER, TERESA ANN (ED S, LPC-S)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:ANN
Last Name:SPEIGNER
Suffix:
Gender:F
Credentials:ED S, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 WALNUT ST STE 2
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901-5254
Mailing Address - Country:US
Mailing Address - Phone:256-438-4152
Mailing Address - Fax:
Practice Address - Street 1:215 WALNUT ST STE 2
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-5254
Practice Address - Country:US
Practice Address - Phone:256-504-5051
Practice Address - Fax:855-943-3294
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2853101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor