James T Berry is a Psychologist in Knoxville, Tennessee. James T Berry practices all healthcare services and medical treatments related to Psychologist. The NPI Number for James T Berry is 1679622005. The last update date is 2007-07-08.
James T Berry's current location address is 325 Ebenezer Rd, Knoxville, Tennessee. You can contact this provider via phone number 4656700988 and fax number 8656701991. The mailing address for James T Berry is 325 Ebenezer Rd, Knoxville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James T Berry |
|---|---|
| Address | 325 Ebenezer Rd, Knoxville, Tennessee |
| Phone Number | 4656700988 |
| Fax Number | 8656701991 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1679622005 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 325 Ebenezer Rd |
|---|---|
| City | Knoxville |
| State | Tennessee (TN) |
| Post Code | 37923 |
| Phone Number | 4656700988 |
| Fax Number | 8656701991 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | P2079 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3980497 | TN | -- | |
| 3045949 | TN | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to James T Berry by the Centers for Medicare & Medicaid Services?
The James T Berry has been issued the NPI (National Provider Identifier) 1679622005 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where James T Berry's facilities are geographically located?
The facilities of James T Berry are physically situated at the following location: 325 Ebenezer Rd, Knoxville, TN, 37923.
On what date did James T Berry receive its 1679622005 assignment from the Centers for Medicare & Medicaid Services?
The James T Berry was assigned its 1679622005 on 2007-01-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to James T Berry most recently updated or refreshed?
The details pertaining to the James T Berry, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
As of what date was the information regarding James T Berry, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to James T Berry, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN