TERESA I COSTA

COSTA CLINICAL PSYCHOLOGY, LLC

Dr TERESA I COSTA is a female medical professional, specializing in Psychologist, Clinical. She graduated in 2008.

Contact

COSTA CLINICAL PSYCHOLOGY, LLC

625 SPRUCE ST
SUITE 7666
BROOKINGS
OR
974150408

Tel: 5414120700

TERESA I COSTA Information

Npi 1770894461
Pac Id 8820237803
Professional Enrollment Id I20130624000472
Last Name COSTA
First Name TERESA
Middle Name I
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2008
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name COSTA CLINICAL PSYCHOLOGY, LLC
Group Practice Pac Id 2365723186
Number Of Group Practice Members 2
Line 1 Street Address 625 SPRUCE ST
Line 2 Street Address SUITE 7666
Marker Of Address Line 2 Suppression
City BROOKINGS
State OR
Zip Code 974150408
Phone Number 5414120700
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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