Individual
DR. NATASHA BENFIELD GOUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2002 BROOKSIDE DR, SUITE 200, KINGSPORT, TN 37660-4634
(423) 224-3933
(423) 224-3934
Mailing address
2002 BROOKSIDE DR, SUITE 200, KINGSPORT, TN 37660-4634
(423) 224-3933
(423) 224-3934
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P0000003181
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487050233
—
VA
05
—
Q013245
—
TN
Enumeration date
11/06/2014
Last updated
08/22/2019
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