Individual
ELAINE LENORE ENSIGN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1002 BRADFORD WAY, KINGSTON, TN 37763
(865) 376-1585
(865) 376-1587
Mailing address
1002 BRADFORD WAY, KINGSTON, TN 37763
(865) 376-1585
(865) 376-1587
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P1360
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0113007
BLUE CROSS BLUE SHIELD
TN
05
—
3682131
—
TN
Enumeration date
01/25/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us