Individual
ROBERT MATTHEW TOLLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
325 N. STATE OF FRANKLIN ROAD, GROUND FLOOR, JOHNSON CITY, TN 37604-6062
(423) 439-7320
(423) 739-7343
Mailing address
6350 W ANDREW JOHNSON HWY, DEPARTMENT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3437
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q032681
—
TN
Enumeration date
08/07/2014
Last updated
01/29/2024
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