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Contact Information

TRI STATE PSYCHIATRIC SERVICES PC
6918 SHALLOWFORD RD
SUITE 200
CHATTANOOGA, TN37421
 Phone: 423-499-6165
 Fax: 423-499-0693
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for TRI STATE PSYCHIATRIC SERVICES PC · (Female)

NPI # 1730259615
Status Active
Credentials
Entity Individual
Enumeration date 11/08/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # MD022212
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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