Individual
DR. GARY B VERNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
300 W BEECH ST, RM 1, LA FOLLETTE, TN 37766-3516
(865) 712-0234
(423) 562-6106
Mailing address
PO BOX 4818, OAK RIDGE, TN 37831-4818
(865) 712-0234
(423) 562-6106
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P0000001449
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
352427000
AETNA
—
05
—
36835521
—
TN
05
—
3683555
—
TN
01
—
4039056
BLUECROSS BLUESHIELD
—
01
—
702009618
CARITEN HEALTHCARE
—
01
—
TN0101
JOHNDEERE HEALTHCARE
—
Enumeration date
12/29/2005
Last updated
12/15/2013
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