| NPI | 1699328195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASEN GUNDERSEN President 865-693-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TP0814X Psychologist, Psychoanalysis | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |