Doctor Name: | ALLISON JANNEY EAST |
NPI Number: | 1578642385 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYCHOLOGIST |
License Number: | 45737MS |
Business Practice Address: | 6350 West Andrew Johnson Highway Talbott, TN - 37877 |
Business Phone Number: | 4235877337 |
Business Fax Number: | 4235860614 |
Mailing Address: | Department 888182, KNOXVILLE |
State: | TN |
Postal Code: | 379958182 |
Phone Number: | 8003553565 |
Fax Number: | 4237142355 |
NPI Enumeration Date: | 11/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 45737MS |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |