Lynn C Petras is a Clinical in Ooltewah, Tennessee. Lynn C Petras practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lynn C Petras is 1710059340. The last update date is 2012-09-10.
Lynn C Petras's current location address is 5701 Riley Rd, Ooltewah, Tennessee. You can contact this provider via phone number 4233261258. The mailing address for Lynn C Petras is 5701 Riley Rd, Ooltewah, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lynn C Petras |
|---|---|
| Address | 5701 Riley Rd, Ooltewah, Tennessee |
| Phone Number | 4233261258 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1710059340 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2012-09-10 |
Provider Mailing Address Detail
| Address | 5701 Riley Rd |
|---|---|
| City | Ooltewah |
| State | Tennessee (TN) |
| Post Code | 373636883 |
| Phone Number | 4233261258 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | P0000001679 |
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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 identification code assigned to Lynn C Petras by the Centers for Medicare & Medicaid Services?
The Lynn C Petras has been issued the NPI (National Provider Identifier) 1710059340. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Lynn C Petras is geographically located?
The Lynn C Petras is physically situated at the following location: 5701 Riley Rd, Ooltewah, TN, 373636883.
What is Lynn C Petras's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lynn C Petras is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
When did the Lynn C Petras receive its 1710059340?
The Lynn C Petras was issued its 1710059340 on 2006-11-15, which is the date when the organization was assigned this unique identifier.
When was the Lynn C Petras's information last updated?
The Lynn C Petras's information was last updated on 2012-09-10.