Individual
JEFFREY DAVID BULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
501 ADESSA PKWY, SUITE A-150, LENOIR CITY, TN 37771-6725
(865) 986-8082
(865) 986-5890
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
TN
103TC0700X
Clinical Psychologist
Primary
P3096
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2011
Last updated
03/22/2018
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