Individual
KAREN RENE GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9031 CROSS PARK DR, KNOXVILLE, TN 37923-4602
(865) 545-4592
Mailing address
9031 CROSS PARK DR, KNOXVILLE, TN 37923-4602
(865) 545-4592
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P2460
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3585339
—
TN
Enumeration date
07/15/2005
Last updated
03/07/2010
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