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Individual

MARCELLA HORN DUNAWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
262 CHEROKEE PROFESSIONAL PARK, MARYVILLE, TN 37804-5153
(865) 984-4223
(865) 681-1789
Mailing address
PO BOX 4068, MARYVILLE, TN 37802-4068
(865) 273-1752
(865) 273-1755

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
P2872
TN
103TC0700X
Clinical Psychologist
Primary
P2872
TN
103TC0700X
Clinical Psychologist
P2872 (PROV)
TN
103TC2200X
Clinical Child & Adolescent Psychologist
P2872
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1517021
TN
Enumeration date
06/19/2007
Last updated
04/11/2016
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