Individual
JOE D MOUNT
Active
Individual
JOE D MOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P0000002115
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3980011
—
TN
01
—
4079239
BCBS - PARADIGM
TN
01
—
P00099385
RR MEDICARE - PARADIGM
TN
Enumeration date
09/28/2006
Last updated
07/09/2007
Update your record
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