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Individual

WILLIAM ALLAN RICHARDS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
7714 CONNER RD, POWELL, TN 37849-3559
(865) 947-6220
(865) 512-1069
Mailing address
6350 W ANDREW JOHNSON HWY DEPT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P1885
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3685505
TN
Enumeration date
07/20/2005
Last updated
11/30/2017
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