Provider Demographics
NPI:1508004821
Name:KIRSCHNER, TERRI MICHELLE (MS)
Entity Type:Individual
Prefix:MRS
First Name:TERRI
Middle Name:MICHELLE
Last Name:KIRSCHNER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:TERRI
Other - Middle Name:MICHELLE
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:10085 THREE SEVENS PL
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95949-7500
Mailing Address - Country:US
Mailing Address - Phone:951-315-3568
Mailing Address - Fax:
Practice Address - Street 1:138 NEW MOHAWK RD
Practice Address - Street 2:#200
Practice Address - City:NEVADA CITY
Practice Address - State:CA
Practice Address - Zip Code:95959-3244
Practice Address - Country:US
Practice Address - Phone:530-478-0900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-23
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator