Individual
DR. JERRY V. BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
PSYCHOLOGY SERVICE (116B2), JAMES H. QUILLEN VA MEDICAL CENTER, MOUNTAIN HOME, TN 37684
(423) 926-1171
(423) 979-3447
Mailing address
408 LAMBETH DR, JOHNSON CITY, TN 37601-1042
(423) 926-1171
(423) 979-3447
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
P1044
TN
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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