NPI 1679622005 · live from the CMS NPI Registry
James T Berry, PhD
Psychologist in Knoxville, TN. National Provider Identifier 1679622005, active.
NPI record
| NPI | 1679622005 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 325 Ebenezer Rd, Ebenezer Counseling Services, Knoxville, TN 37923 |
| Practice phone | 465-670-0988 |
| Enumerated | January 8, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | P2079 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.