Provider Demographics
NPI:1467068452
Name:TORRES, TERESA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 CONSTANTINE WAY
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:WA
Mailing Address - Zip Code:98520-9504
Mailing Address - Country:US
Mailing Address - Phone:334-306-0093
Mailing Address - Fax:
Practice Address - Street 1:191 CONSTANTINE WAY
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:WA
Practice Address - Zip Code:98520-9504
Practice Address - Country:US
Practice Address - Phone:360-536-1800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty