NPI 1508885138 · live from the CMS NPI Registry
John Paul Abner, PhD
Psychologist, Clinical in Johnson City, TN. National Provider Identifier 1508885138, active.
NPI record
| NPI | 1508885138 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 403 N State Of Franklin Rd, Johnson City, TN 37604 |
| Practice phone | 423-431-7111 |
| Mailing address | 112 E Myrtle Ave, Suite 507, Johnson City, TN 37601 |
| Enumerated | July 18, 2006 |
| Last updated | August 27, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 2096 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.