Individual
DR. SUSAN JOAN STALGAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD IN CLIICAL PSYCH
Contact information
Practice address
9217 PARK WEST BLVD, STE D 1, KNOXVILLE, TN 37923-4420
(865) 691-2425
(865) 531-8440
Mailing address
9217 PARK WEST BLVD, STE D 1, KNOXVILLE, TN 37923-4420
(865) 691-2425
(865) 531-8440
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
TN967
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0034139
—
TN
Enumeration date
11/04/2006
Last updated
07/08/2007
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