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Individual

ROBERT KEITH ALBISTON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1002 BRADFORD WAY, KINGSTON, TN 37763
(865) 376-1585
(865) 376-1587
Mailing address
1002 BRADFORD WAY, KINGSTON, TN 37763
(865) 376-1585
(865) 376-1587

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P1001
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3683259
TN
Enumeration date
01/25/2006
Last updated
07/08/2007
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