Individual
LISA PADERNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
JAMES H. QUILLEN VAMC, 116B, MOUNTAIN HOME, TN 37684
(423) 926-1171
Mailing address
PO BOX 4000, 116B, JAMES H. QUILLEN VAMC, MOUNTAIN HOME, TN 37684
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P2875
TN
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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