Organization
BEARDEN PSYCHOLOGICAL & WELLNESS CENTER, PLLC
Active
Organization
BEARDEN PSYCHOLOGICAL & WELLNESS CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. K. SHANNON WILSON PH.D. (PRESIDENT)
(865) 584-4005
Entity
Organization
Contact information
Practice address
813 S NORTHSHORE DR, SUITE 105, KNOXVILLE, TN 37919-7594
(865) 584-4005
(865) 584-5551
Mailing address
PO BOX 10372, KNOXVILLE, TN 37939-0372
(865) 584-4005
(865) 584-5551
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P2498
TN
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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