Individual
ANDREW HOWARD DEMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
501 ADESA BLVD STE A150, LENOIR CITY, TN 37771-6719
(865) 986-8082
(865) 986-5890
Mailing address
6350 W ANDREW JOHNSON HWY DEPT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P2287
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3980929
—
TN
Enumeration date
07/12/2005
Last updated
03/17/2018
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