Karen Rene Gannon is a Clinical in Knoxville, Tennessee. Karen Rene Gannon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Karen Rene Gannon is 1548269236. The last update date is 2010-03-07.
Karen Rene Gannon's current location address is 9031 Cross Park Dr, Knoxville, Tennessee. You can contact this provider via phone number 8655454592. The mailing address for Karen Rene Gannon is 9031 Cross Park Dr, Knoxville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Karen Rene Gannon |
|---|---|
| Address | 9031 Cross Park Dr, Knoxville, Tennessee |
| Phone Number | 8655454592 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1548269236 |
|---|---|
| Provider Enumeration Date | 2005-07-15 |
| Last Updated Date | 2010-03-07 |
Provider Mailing Address Detail
| Address | 9031 Cross Park Dr |
|---|---|
| City | Knoxville |
| State | Tennessee (TN) |
| Post Code | 379234602 |
| Phone Number | 8655454592 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | P2460 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3585339 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Karen Rene Gannon by the Centers for Medicare & Medicaid Services?
The Karen Rene Gannon has been issued the NPI (National Provider Identifier) 1548269236, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Karen Rene Gannon's physical address?
The Karen Rene Gannon is physically located at 9031 Cross Park Dr, in the city of Knoxville, TN, with the postal code 379234602.
What is the Karen Rene Gannon's area of specialization and corresponding taxonomy classification?
The Karen Rene Gannon's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
When did the Karen Rene Gannon receive its 1548269236?
The Karen Rene Gannon was issued its 1548269236 on 2005-07-15, which is the date when the organization was assigned this unique identifier.
As of what date were the Karen Rene Gannon's details last updated?
The information pertaining to the Karen Rene Gannon, including its address, specialty, and other details, was most recently updated on 2010-03-07.