Individual
DR. DUSTIN LAMPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9129 CROSS PARK DR STE 100, KNOXVILLE, TN 37923-4505
(865) 983-1899
(658) 297-4240
Mailing address
9129 CROSS PARK DR STE 100, KNOXVILLE, TN 37923-4505
(865) 983-1899
(865) 297-4240
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
P3339
TN
103TC0700X
Clinical Psychologist
Primary
P3339
TN
390200000X
Student in an Organized Health Care Education/Training Program
6301015949
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q025600
—
TN
Enumeration date
07/17/2014
Last updated
09/16/2024
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