- Practice location
- 1319 Vincent Pl, Mc Lean, VA 22101-3615
- Phone
- 802-380-1713
- Fax
- —
- Last updated
- February 22, 2023
Teri M Bullis is a Psychologist, Clinical Child & Adolescent based in Mc Lean, VA. Teri M Bullis practices in Mc Lean, VA and has the professional credentials of PHD. The NPI Number for Teri M Bullis is 1467670950 and holds a License No. 796 (VT). The current practice location address for Teri M Bullis is 1319 Vincent Pl, Mc Lean, VA 22101-3615 and can be reached out via phone at 802-380-1713.
Provider Profile Details
- NPI Number
- 1467670950
- Provider Name
- Teri M Bullis
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1319 Vincent Pl, Mc Lean, VA 22101-3615
- Phone Number
- 802-380-1713
- Primary Taxonomy
- Psychologist, Clinical Child & Adolescent · 103TC2200X
- Sole Proprietor
- Yes
- Other Names
- Dr. Teri M Brooks, PHD (Former Name)
- Provider Enumeration Date
- April 23, 2007
- Last Update Date
- February 22, 2023
- Certification Date
- February 22, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1319 Vincent Pl
Mc Lean, VA 22101-3615 - City
- Mc Lean
- State
- Virginia
- Zip
- 22101-3615
- Phone Number
- 802-380-1713
Provider Business Mailing Address Details
- Address
- 75 Mount RD
Cummington, MA 01026-9702 - City
- Cummington
- State
- MA
- Zip
- 01026-9702
- Phone Number
- 802-380-1713
License Information
- License Number (1)
- 796
- License State (1)
- VT
- Taxonomy (1)
- Psychologist, Cognitive & Behavioral · 103TB0200X
- License Number (2)
- 796
- License State (2)
- VT
- Taxonomy (2)
- Psychologist, School · 103TS0200X
- License Number (3)
- 796
- License State (3)
- VT
- Taxonomy (3)
- Psychologist, Clinical Child & Adolescent · 103TC2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical Child & Adolescent providers near Mc Lean, VA
View all Psychologist, Clinical Child & Adolescent providers in Mc Lean →Frequently Asked Questions
What is the NPI number of Dr. Teri M Bullis, PHD?
The NPI number of Dr. Teri M Bullis, PHD is 1467670950. It was assigned on April 23, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Teri M Bullis, PHD?
Dr. Teri M Bullis, PHD is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X), licensed in VT under license number 796.
Where does Dr. Teri M Bullis, PHD practice?
The practice location is 1319 Vincent Pl, Mc Lean, VA 22101-3615. The office can be reached at 802-380-1713 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467670950 directly on the NPPES registry website.