Provider Demographics
NPI:1376720029
Name:POSEY, TERI D
Entity Type:Individual
Prefix:
First Name:TERI
Middle Name:D
Last Name:POSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10825 ARROW RTE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-4800
Mailing Address - Country:US
Mailing Address - Phone:909-945-0926
Mailing Address - Fax:909-945-0819
Practice Address - Street 1:10825 ARROW RTE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-4800
Practice Address - Country:US
Practice Address - Phone:909-945-0926
Practice Address - Fax:909-945-0819
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker