Individual
DR. MYRA QUALLS ELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
PSYCHOLOGY SERVICE, 116B2, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
(423) 979-3447
Mailing address
PO BOX 4000, 116B2, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
(423) 979-3447
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P0000002156
TN
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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