Individual
DR. MARK HOWARD WAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1094
TN
103TA0400X
Addiction (Substance Use Disorder) Psychologist
1094
TN
103TC0700X
Clinical Psychologist
1094
TN
103TF0200X
Forensic Psychologist
1094
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79549
BCBS
TN
Enumeration date
10/26/2006
Last updated
09/11/2025
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