Individual
DR. LINDA S PUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
202 RIVER FORD DR, MARYVILLE, TN 37804-3902
(865) 983-7544
(865) 379-8272
Mailing address
202 RIVER FORD DR, MARYVILLE, TN 37804-3902
(865) 983-7544
(865) 379-8272
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P0000002142
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1045131
CIGNA PROVIDER NUMBER
TN
01
—
116947
VALUEOPTIONS
TN
01
—
30224
CARITEN PROVIDER NUMBER
TN
01
—
3089507
BLUE CROSS PROVIDER NUMBE
TN
01
—
391457976-01
DEERE PROVIDER NUMBER
TN
Enumeration date
02/27/2007
Last updated
07/08/2007
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