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Contact Information

ADULT AND GERIATRIC PSYCHIATRY SERVICE
1618 STRAWBERRY LN
JOHNSON CITY, TN37604-7700
 Phone: 423-677-6787
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for ADULT AND GERIATRIC PSYCHIATRY SERVICE · (Female)

NPI # 1053650200
Status Active
Credentials
Entity Individual
Enumeration date 02/07/2013
Last updated 02/07/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # MD19195
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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