Individual
AMANDA M MONVILLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
6350 W ANDREW JOHNSON HWY, TALBOTT, TN 37877-8605
(423) 587-7337
(423) 586-0614
Mailing address
DEPARTMENT 888182, KNOXVILLE, TN 37995-0001
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2632
TN
Other
Enumeration date
12/28/2005
Last updated
07/08/2007
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