Individual
MRS. DANA BATES SKAGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
302 SUNSET DR, SUITE 105, JOHNSON CITY, TN 37604-2408
(423) 282-1930
(423) 283-0608
Mailing address
302 SUNSET DRIVE, SUITE 105, JOHNSON CITY, TN 37604
(423) 282-1930
(423) 283-0608
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1716
TN
Other
Enumeration date
04/11/2008
Last updated
07/21/2011
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