Individual
DR. IRENE NICHOLS OZBEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6216 AIRPARK DR, CHATTANOOGA, TN 37421-2988
(423) 899-0024
(423) 899-5688
Mailing address
6216 AIRPARK DR, CHATTANOOGA, TN 37421-2988
(423) 899-0024
(423) 899-5688
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
P657
TN
103T00000X
Psychologist
Primary
P 657
—
103TC0700X
Clinical Psychologist
PSY001957
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3157018
BLUE CROSS BLUE SHIELD
—
Enumeration date
12/09/2005
Last updated
01/08/2020
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