NPI | 1235506353 |
---|---|
Former Legal Business Name | HEATHER C. GOW |
Entity Type | Organization |
Authorized Contact | HEATHER COLLEEN GOW Psychologist 423-783-7995 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN P0000002836) |
Enumeration Date | 2015-08-24 |
Last Update Date | 2016-05-05 |