Individual
DR. RICHARD KEY DREWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
238 SUMMAR AVE, JACKSON, TN 38301
(731) 935-8200
(731) 935-8970
Mailing address
689 HWY 412 E, JACKSON, TN 38305
(731) 422-6901
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P0052
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008332
BCBS
—
05
—
3683451
—
TN
Enumeration date
02/02/2007
Last updated
07/08/2007
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