LATASHA NICOLE TEAGUE NPI 1457122905

NPI Information

  • NPI: 1457122905
  • Provider Name: LATASHA NICOLE TEAGUE
  • Classification: Psychologist - 103TM1800X
  • Specialization: Intellectual and Developmental Disabilities
  • Entity Type: Individual
  • Address: 837 ROXBURY AVE
    YOUNGSTOWN, OH
    ZIP 44502
  • Phone: (330) 261-4917

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NPI Details

Latasha Nicole Teague is an intellectual and developmental disabilities in Youngstown, OH. Latasha Nicole Teague NPI is 1457122905. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

837 ROXBURY AVE
YOUNGSTOWN, OH
ZIP 44502-540
Phone: (330) 261-4917

The enumeration date for this NPI number is 1/12/2024 and was last updated on 1/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TM1800XPsychologistIntellectual and Developmental DisabilitiesRR325170OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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