Provider Demographics
NPI:1356575591
Name:POPE, THERESE ANN (MT(ASCP))
Entity type:Individual
Prefix:MS
First Name:THERESE
Middle Name:ANN
Last Name:POPE
Suffix:
Gender:F
Credentials:MT(ASCP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1135 18TH PL SW
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32962-6921
Mailing Address - Country:US
Mailing Address - Phone:720-320-4665
Mailing Address - Fax:
Practice Address - Street 1:1135 18TH PL SW
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32962-6921
Practice Address - Country:US
Practice Address - Phone:720-320-4665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-02
Last Update Date:2009-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist