Individual
LYNN C PETRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5701 RILEY RD, OOLTEWAH, TN 37363-6883
(423) 326-1258
Mailing address
5701 RILEY RD, OOLTEWAH, TN 37363-6883
(423) 326-1258
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P0000001679
TN
Other
Enumeration date
11/15/2006
Last updated
09/10/2012
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