Individual
JAMIE TEDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
809 LAMONT ST BLDG 162, JOHNSON CITY, TN 37604-5453
(423) 926-1171
Mailing address
809 LAMONT ST BLDG 162, JOHNSON CITY, TN 37604-5453
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810007969
VA
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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