NPI 1942568019 · live from the CMS NPI Registry
Bearden Psychological & Wellness Center, PLLC
Psychologist, Clinical in Knoxville, TN. National Provider Identifier 1942568019, active.
NPI record
| NPI | 1942568019 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 813 S Northshore Dr, Suite 105, Knoxville, TN 37919 |
| Practice phone | 865-584-4005 |
| Mailing address | Po Box 10372, Knoxville, TN 37939 |
| Enumerated | April 26, 2012 |
| Last updated | April 26, 2012 |
| Authorized official | K. Shannon Wilson, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | P2498 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.