Organization · Type 2 NPI
Mountain States Health Alliance Out-Patient Behavioral Health
Health Service Psychologist · Kingsport, TN
Practice location
2012 Brookside Dr
Kingsport, TN 37660-4645
Fax (423) 857-5564
Mailing address
1021 W Oakland Ave, Suite 207
Johnson City, TN 37604-2191
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | None listed |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
4 other providers at this address
- Blue Ridge Neurology Associates P.c.Specialist Kingsport, TN NPI 1639190846
- Kingsport Plastic Surgery, PCPlastic and Reconstructive Surgery Physician Kingsport, TN NPI 1912178112
- Joe Howard Owens, D.P.M.Podiatrist Kingsport, TN NPI 1366437154
- Lesley Ann Jones, MDFamily Medicine Physician Kingsport, TN NPI 1053479139
About NPI 1083936033
Mountain States Health Alliance Out-Patient Behavioral Health's National Provider Identifier is 1083936033, issued on Feb 18, 2010. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Kingsport, TN. The record was last updated on Feb 18, 2010.