Individual
ODACIR H OLIVEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2347 JONES BEND RD, LOUISVILLE, TN 37777-5213
(865) 970-9800
(865) 380-1461
Mailing address
PO BOX 1999, LOUISVILLE, TN 37777-1999
(865) 970-1295
(865) 380-1461
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
606
TN
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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