| NPI | 1457615627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ELAINE HICKMAN Chief Executive Officer 423-800-0483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN P0000002807) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2012-07-02 |