| NPI | 1639415565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA VALERE HAMILTON-LOCKWOOD Clinical Psychologist 865-525-1099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN P2839) |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2012-12-21 |