| NPI | 1518238310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRIE GENE BEEVERS Clinical Psychologist 865-212-5296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN P832) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |