Individual
DR. JOSE LUIS CASIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 37615-4998
(865) 673-6741
(865) 673-6634
Mailing address
119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 37615-4998
(865) 673-6741
(865) 673-6634
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1518
PR
Other
Enumeration date
10/13/2006
Last updated
04/08/2016
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