Individual
DR. PRESTON VISSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
318 DONNELLY ST, MOUNTAIN CITY, TN 37683-1510
(423) 727-2100
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DR, POB 9054, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
071.008690
IL
103TC0700X
Clinical Psychologist
Primary
3242
TN
Other
Enumeration date
08/25/2009
Last updated
10/28/2014
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