Individual
KATHERINE CHEESMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, PHD
Contact information
Practice address
2 PROFESSIONAL PARK DR, JOHNSON CITY, TN 37604-6583
(423) 952-6474
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 952-6474
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4172
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q107124
—
TN
Enumeration date
10/07/2024
Last updated
10/08/2025
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