Berry, James T

Berry, James T is an individual health care provider with primary practice located at 325 Ebenezer Rd Ebenezer Counseling Services, Knoxville TN 37923. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Berry, James T can be contacted via phone (465) 670-0988.

Contact Information

Primary practice address
325 Ebenezer Rd Ebenezer Counseling Services Knoxville TN 37923
Phone: (465) 670-0988
Fax: (865) 670-1991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X P2079 Tennessee

Profile Details

NPI number 1679622005
LBN Legal business name Berry, James T
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679622005 NPPES
Tennessee MEDICAID 3980497
Tennessee Other 3045949

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