Individual
KEVIN RICHARD MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
815 W 5TH NORTH ST, MORRISTOWN, TN 37814-3810
(423) 586-5032
(423) 581-8473
Mailing address
6350 W ANDREW JOHNSON HWY DEPT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P3512
TN
Other
Enumeration date
06/07/2017
Last updated
10/23/2018
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