Individual provider · Type 1 NPI

Nancy Deane Good Maddox, MA LSPE

Health Service Psychologist · Harrogate, TN

NPI number 1790889475 Active

Practice location

6144 Cumberland Gap Parkway, Suite 2
Harrogate, TN 37752

Mailing address

PO Box 1604
New Tazewell, TN 37824-1604

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100XSPE 1475 (TN)

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).

About NPI 1790889475

Nancy Deane Good Maddox, MA LSPE's National Provider Identifier is 1790889475, issued on Sep 12, 2006. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Harrogate, TN. The record was last updated on Jan 9, 2009.