| Sandra Teuber | |
|
2900 Veterans Way Viera FL 32940-8007 | |
| (321) 637-3788 | |
| (321) 637-3648 |
| Full Name | Sandra Teuber |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2900 Veterans Way, Viera, Florida |
| Authorized Official Name and Position | Sandra Lee Bouchard Teuber (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3216373788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Teuber 2808 Stearns Ave Ne Palm Bay FL 32905-3542 Ph: (321) 768-7534 | Sandra Teuber 2900 Veterans Way Viera FL 32940-8007 Ph: (321) 637-3788 |
| NPI Number | 1730155185 |
|---|---|
| Provider Enumeration Date | 02/27/2006 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730155185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAP 2661 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW 7842 (Florida) | Primary |
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