Individual
JOYCE G CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
205 SOUTH MAIN STREET, JAMESTOWN, TN 38556
(931) 879-4725
(931) 879-8586
Mailing address
PO BOX 327, ALLARDT, TN 38504
(931) 879-4725
(931) 879-8586
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P0000001434
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0132634
BLUE CROSS
TN
05
—
3683864
—
TN
Enumeration date
11/27/2006
Last updated
07/08/2007
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