Provider Demographics
NPI:1346365194
Name:KINTIGH, TERESA A (MA)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:A
Last Name:KINTIGH
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:ANN
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:1358 OAK ST.
Mailing Address - Street 2:SUITE 1
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401
Mailing Address - Country:US
Mailing Address - Phone:541-505-9491
Mailing Address - Fax:541-484-7212
Practice Address - Street 1:1358 OAK ST.
Practice Address - Street 2:SUITE 1
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401
Practice Address - Country:US
Practice Address - Phone:541-505-9491
Practice Address - Fax:541-484-7212
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT0475106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist