Individual
GREGORY JOE PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
5170 HICKORY HOLLOW PKWY APT 406, ANTIOCH, TN 37013-3089
(615) 479-5714
Mailing address
5170 HICKORY HOLLOW PKWY APT 406, ANTIOCH, TN 37013-3089
(615) 479-5714
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
000529794
TN
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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