Individual provider · Type 1 NPI
Nancy Deane Good Maddox, MA LSPE
Health Service Psychologist · Harrogate, TN
Practice location
6144 Cumberland Gap Parkway, Suite 2
Harrogate, TN 37752
Mailing address
PO Box 1604
New Tazewell, TN 37824-1604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | SPE 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.