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Contact Information

BRIGHT STAR CHILD AND ADOLESCENT PSYCHIATRY LLC
641 MORGANTON SQUARE DR
MARYVILLE, TN37801-4763
 Phone: 865-724-1590
 Fax: 865-724-1591
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for BRIGHT STAR CHILD AND ADOLESCENT PSYCHIATRY LLC · (Female)

NPI Number 1609424274
Status Active
Credentials
Entity Individual
Enumeration date 08/27/2019
Last updated 05/16/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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