IndividualActive
John Teal, PH.D.
NPI 1669640777 · Prescribing (Medical) Psychologist · Mandeville, LA
Provider details
- NPI number
- 1669640777
- Entity type
- Individual
- Primary specialty
- Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 47818 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
633 Asbury Dr
Suite a
Mandeville, LA 70471-6511
Phone: (601) 946-1844
Approximate (ZIP-level) locationGet directions
Mailing address
618 Eagle Ave
Jackson, MS 39206-5821
Registry dates
- Enumerated
- 2008-02-12
- Last updated
- 2015-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.