Bearden Psychological & Wellness Center, PLLC
Psychologist, Clinical in Knoxville, TN. Organization (NPI-2).
NPI number1942568019
StatusActive
Last updated in NPPESApr 26, 2012
Details
- NPI
- 1942568019
- Entity type
- Organization (NPI-2)
- Legal business name
- Bearden Psychological & Wellness Center, PLLC
- Organization subpart
- No
- Enumeration date
- Apr 26, 2012
- Last updated
- Apr 26, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | P2498 | TN | Yes |
Practice location
813 S Northshore DrSuite 105
Knoxville, TN 37919-7594
Phone 865-584-4005 · Fax 865-584-5551
Mailing address
Po Box 10372Knoxville, TN 37939-0372
Phone 865-584-4005 · Fax 865-584-5551
Authorized official
K. Shannon Wilson
President
8655844005
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