Bobby Gene Ewing in Jonesborough - Clinical
Bobby Gene Ewing - NPI 1457564676
Bobby Gene Ewing is a Clinical in Jonesborough, Tennessee. Bobby Gene Ewing practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bobby Gene Ewing is 1457564676. The last update date is 2007-07-08.
Bobby Gene Ewing's current location address is 314 Jim Range Rd, Jonesborough, Tennessee. You can contact this provider via phone number 4237530357. The mailing address for Bobby Gene Ewing is 314 Jim Range Rd, Jonesborough, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bobby Gene Ewing |
|---|---|
| Address | 314 Jim Range Rd, Jonesborough, Tennessee |
| Phone Number | 4237530357 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1457564676 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 314 Jim Range Rd |
|---|---|
| City | Jonesborough |
| State | Tennessee (TN) |
| Post Code | 376595904 |
| Phone Number | 4237530357 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1566 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Bobby Gene Ewing by the Centers for Medicare & Medicaid Services?
The Bobby Gene Ewing has been assigned the NPI (National Provider Identifier) 1457564676. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Bobby Gene Ewing is physically located?
The Bobby Gene Ewing is situated at the following address: 314 Jim Range Rd, Jonesborough, TN 376595904.
What is Bobby Gene Ewing's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bobby Gene Ewing is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1457564676 to Bobby Gene Ewing?
The Centers for Medicare & Medicaid Services assigned the 1457564676 to Bobby Gene Ewing on 2007-05-07.
When was the information regarding Bobby Gene Ewing most recently updated?
The details pertaining to the Bobby Gene Ewing, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.