Provider Demographics
NPI:1760241566
Name:SCHRAMM, TERESA
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:SCHRAMM
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 1:1899 RESERVE BLVD APT 92
Mailing Address - Street 2:
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32563-7015
Mailing Address - Country:US
Mailing Address - Phone:850-686-0862
Mailing Address - Fax:
Practice Address - Street 1:1899 RESERVE BLVD APT 92
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32563-7015
Practice Address - Country:US
Practice Address - Phone:850-686-0862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician