Cantrell, Peggy Joyce

Cantrell, Peggy Joyce is an sole proprietor health care provider with primary practice located at 807 University Pkwy Etsu Campus, Johnson City TN 37614-6500. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cantrell, Peggy Joyce can be contacted via phone (423) 439-7777.

Contact Information

Primary practice address
807 University Pkwy Etsu Campus Johnson City TN 37614-6500
Phone: (423) 439-7777
Fax: (423) 439-5695
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X P-000000901 Tennessee
Behavioral Health & Social Service Providers / Clinical 103TC0700X P-000000901 Tennessee
Behavioral Health & Social Service Providers / Clinical 103TC0700X P00000901 Tennessee

Profile Details

NPI number 1417154410
LBN Legal business name Cantrell, Peggy Joyce
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2007
Last updated Nov 23rd, 2010 - about 14 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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