Provider Demographics
NPI:1659788222
Name:TEAL, ANNA (BSW)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:
Last Name:TEAL
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:HORNER-RICHARDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:113 CROSBY RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820
Mailing Address - Country:US
Mailing Address - Phone:603-516-9300
Mailing Address - Fax:603-743-3244
Practice Address - Street 1:50 CHESTNUT STREET
Practice Address - Street 2:SUITE A
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820
Practice Address - Country:US
Practice Address - Phone:603-516-9300
Practice Address - Fax:603-516-2731
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-16
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management