Dunaway, Marcella Horn
Dunaway, Marcella Horn is an individual health care provider with primary practice located at 262 Cherokee Professional Park , Maryville TN 37804-5153. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dunaway, Marcella Horn can be contacted via phone (865) 984-4223.Contact Information
Primary practice address
262 Cherokee Professional Park
Maryville TN 37804-5153
Phone: (865) 984-4223
Fax: (865) 681-1789
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | P2872 (PROV) | Tennessee |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | P2872 | Tennessee |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | P2872 | Tennessee |
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | P2872 | Tennessee |
Profile Details
NPI number | 1235334350 |
---|---|
LBN Legal business name | Dunaway, Marcella Horn |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 19th, 2007 |
Last updated | Apr 11th, 2016 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1235334350 | NPPES |
Tennessee | MEDICAID | 1517021 |
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