Individual
DR. CONSTANCE B CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
108 COATSLAND DR, JACKSON, TN 38301-3435
(731) 225-7273
Mailing address
108 COATSLAND DR, JACKSON, TN 38301-3435
(731) 225-7273
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P0000001773
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3684836
—
TN
01
—
4052187
BCBS # - PARADIGM
TN
01
—
680015796
RR MEDICARE # - PARADIGM
TN
Enumeration date
09/28/2006
Last updated
04/24/2015
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