Individual
DR. BAILEY C DESPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2240 SUTHERLAND AVE STE 103, KNOXVILLE, TN 37919-2333
(865) 934-6100
(865) 342-0100
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 317-9344
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
3994
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12791
—
KY
Enumeration date
08/29/2017
Last updated
12/31/2024
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