Individual
DANIELLE RANAE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2574 FRAYSER BLVD, MEMPHIS, TN 38127-5829
(901) 302-4361
(865) 342-0121
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 317-9344
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY8417
FL
103TC0700X
Clinical Psychologist
Primary
P2985
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2009
Last updated
03/29/2018
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