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Individual

CHAD SIMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2018 WESTERN AVENUE, KNOXVILLE, TN 37921
(865) 544-0406
(865) 544-0480
Mailing address
DEPARTMENT 888182, KNOXVILLE, TN 37995-8182
(800) 355-3565
(423) 714-2355

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2874 (PROV LIC)
TN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/23/2007
Last updated
09/05/2008
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