NPI 1225137755 · live from the CMS NPI Registry
Brian Vaughn Abbott, Ph.D.
Psychologist, Clinical in Johnson City, TN. National Provider Identifier 1225137755, active.
NPI record
| NPI | 1225137755 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 415 E Unaka Ave, Johnson City, TN 37601 |
| Practice phone | 901-337-7765 |
| Mailing address | 1037 Grace Dr, Johnson City, TN 37604 |
| Enumerated | September 21, 2006 |
| Last updated | September 8, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 2669 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.