Individual
ASHLEY MAYHEW BREAZEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1754 TEXAS AVE, KNOXVILLE, TN 37921-2513
(865) 934-6165
(865) 342-0165
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 317-9344
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P3741
TN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/01/2018
Last updated
02/08/2021
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