Doctor Name: | MS. JUSTINE ROBYN LEEHANS |
NPI Number: | 1790839470 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | LSW0000003981 |
Business Practice Address: | 307 High St Maryville, TN - 378045847 |
Business Phone Number: | 8658054459 |
Business Fax Number: | 8659811837 |
Mailing Address: | 307 High St, MARYVILLE |
State: | TN |
Postal Code: | 378045847 |
Phone Number: | 8658054459 |
Fax Number: | 8659811837 |
NPI Enumeration Date: | 01/22/2007 |
NPI Last Update Date: | 02/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | LSW0000003981 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |