Individual
KRISTIE M ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1045 W MAIN ST STE C, MONTEAGLE, TN 37356-7032
(931) 327-5276
(319) 463-9008
Mailing address
4735 SEQUATCHIE MOUNTAIN RD, SEQUATCHIE, TN 37374-7069
(931) 327-5276
(931) 463-9008
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9319247823
PHONE NUMBER
TN
Enumeration date
01/04/2018
Last updated
04/18/2022
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