Organization
DOGWOOD PSYCHOLOGICAL SERVICES OF EAST TENNESSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY SKINNER (CREDENTIALING SPECIALIST)
(501) 464-1664
Entity
Organization
Contact information
Practice address
415 E UNAKA AVE, JOHNSON CITY, TN 37601-4030
(423) 364-2972
Mailing address
415 E UNAKA AVE, JOHNSON CITY, TN 37601-4030
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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