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NPI Profile for Dr KENDRA R WEAVER in MOUNTAIN HOME, TN.
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical | |
Clinical |
103TC0700X | 62 | Psychologist, Clinical |
| NPI Number | 1154355717 |
|
| Status | Active | |
| Credentials | PSY.D. (Doctor of Psychology) | |
| Entity | Individual | |
| Enumeration date | 07/10/2006 | |
| Last updated | 09/11/2025 - About 9 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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KENDRA R WEAVER
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KENDRA R WEAVER, PSY.D.