Individual
DR. HEATHER COLLEEN GOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1104 TUSCULUM BLVD, SUITE 118, GREENEVILLE, TN 37745-4091
(423) 783-7995
Mailing address
1104 TUSCULUM BLVD, SUITE 118, GREENEVILLE, TN 37745-4091
(423) 783-7995
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
2836
TN
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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