Organization
R JEFF SLAVIN PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JEFF SLAVIN PHD (PSYCHOLOGIST / PRESIDENT)
(865) 982-6370
Entity
Organization
Contact information
Practice address
530 E BROADWAY AVE, MARYVILLE, TN 37804-5730
(865) 982-6370
(865) 983-1810
Mailing address
530 E BROADWAY AVE, MARYVILLE, TN 37804-5730
(865) 982-6370
(865) 983-1810
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P0000000505
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3684524
—
TN
Enumeration date
08/09/2006
Last updated
08/22/2020
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