Individual
DR. BRIANA VON MIZENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1432 E LEE HWY, LOUDON, TN 37774-6440
(865) 458-8900
(865) 458-8626
Mailing address
1432 E LEE HWY, LOUDON, TN 37774-6440
(865) 458-8900
(865) 458-8626
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
2866
TN
103TS0200X
School Psychologist
Primary
2866
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q007204
—
TN
Enumeration date
08/03/2013
Last updated
08/21/2014
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