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Contact Information

NANCY K WAITE OBRIEN, PHD
423 E MCKINNEY AVE
ROGERSVILLE, TN37857-3339
 Phone: 760-275-8598
 Fax: 423-500-0119
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for NANCY K WAITE OBRIEN · (Female)

NPI # 1528450384
Status Active
Credentials PHD
Entity Individual
Enumeration date 03/03/2015
Last updated 07/29/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PSY13350
  • TN License # 4037
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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