Individual
JAMES T BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
325 EBENEZER RD, EBENEZER COUNSELING SERVICES, KNOXVILLE, TN 37923
(465) 670-0988
(865) 670-1991
Mailing address
325 EBENEZER RD, EBENEZER COUNSELING SERVICES, KNOXVILLE, TN 37923
(465) 670-0988
(865) 670-1991
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P2079
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3045949
BCBS
TN
05
—
3980497
—
TN
Enumeration date
01/08/2007
Last updated
07/08/2007
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