Provider Demographics
NPI:1952959454
Name:HEARD-RALBOVSKY, TERESA LOUISE
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:LOUISE
Last Name:HEARD-RALBOVSKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:LOUISE
Other - Last Name:HEARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:29 PARKRIDGE ROAD, SUITE 2B
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01835
Mailing Address - Country:US
Mailing Address - Phone:978-587-1379
Mailing Address - Fax:
Practice Address - Street 1:29 PARKRIDGE ROAD, SUITE 2B
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01835
Practice Address - Country:US
Practice Address - Phone:978-587-1379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health