Provider Demographics
NPI:1205971231
Name:NAVE, TERRI ANN (MS)
Entity type:Individual
Prefix:MRS
First Name:TERRI
Middle Name:ANN
Last Name:NAVE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1285 MCDOUGALL DR
Mailing Address - Street 2:
Mailing Address - City:LANDER
Mailing Address - State:WY
Mailing Address - Zip Code:82520-3536
Mailing Address - Country:US
Mailing Address - Phone:307-332-9153
Mailing Address - Fax:
Practice Address - Street 1:315 MAIN STREET
Practice Address - Street 2:SUITE #15
Practice Address - City:LANDER
Practice Address - State:WY
Practice Address - Zip Code:82520
Practice Address - Country:US
Practice Address - Phone:307-332-4515
Practice Address - Fax:307-332-4899
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYPPC-323101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional