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Individual

LYNN KAY BOATWRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
901 MOUNTAIN CREEK RD, SUITE 200, CHATTANOOGA, TN 37405-4501
(423) 870-0036
(423) 870-0706
Mailing address
901 MOUNTAIN CREEK RD, SUITE 200, CHATTANOOGA, TN 37405-4501
(423) 870-0036
(423) 870-0706

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P1070
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0172508
BLUE CROSS BLUE SHIELD
TN
Enumeration date
09/02/2006
Last updated
07/08/2007
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