Clontz, Beverly Joanne

Clontz, Beverly Joanne is an sole proprietor health care provider with primary practice located at 223 Mineral St , Newport TN 37821-3827. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clontz, Beverly Joanne can be contacted via phone (423) 608-4700.

Contact Information

Primary practice address
223 Mineral St Newport TN 37821-3827
Phone: (423) 608-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X P1668 Tennessee

Profile Details

NPI number 1689672883
LBN Legal business name Clontz, Beverly Joanne
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2005
Last updated Nov 20th, 2023 - about 2 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 1689672883 NPPES
Tennessee MEDICAID 3686403

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