Provider Demographics
NPI:1578954491
Name:ULLMAN, TERESA DH (LPC LMFT ATR-BC MHC)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:DH
Last Name:ULLMAN
Suffix:
Gender:F
Credentials:LPC LMFT ATR-BC MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 HARVARD AVE
Mailing Address - Street 2:
Mailing Address - City:SWARTHMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19081-1625
Mailing Address - Country:US
Mailing Address - Phone:985-373-2021
Mailing Address - Fax:
Practice Address - Street 1:199 HARVARD AVE
Practice Address - Street 2:
Practice Address - City:SWARTHMORE
Practice Address - State:PA
Practice Address - Zip Code:19081-1625
Practice Address - Country:US
Practice Address - Phone:985-373-2021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-13
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA947106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist