John D Mayberry in Pigeon Forge - Marriage & Family Therapist

John D Mayberry - NPI 1639392129

John D Mayberry is a Marriage & Family Therapist in Pigeon Forge, Tennessee. John D Mayberry practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for John D Mayberry is 1639392129. The last update date is 2007-07-08.

John D Mayberry's current location address is 3225 Gold Dust Dr, Pigeon Forge, Tennessee. You can contact this provider via phone number 8654292375 and fax number 8657747877. The mailing address for John D Mayberry is 3225 Gold Dust Dr, Pigeon Forge, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name John D Mayberry
Address 3225 Gold Dust Dr, Pigeon Forge, Tennessee
Phone Number 8654292375
Fax Number 8657747877
Sole Proprietor N
Credentials MA LMFT

NPI Number Detail

NPI Number 1639392129
Provider Enumeration Date 2007-04-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3225 Gold Dust Dr
City Pigeon Forge
State Tennessee (TN)
Post Code 37863
Phone Number 8654292375
Fax Number 8657747877

Provider's Primary Taxonomy Detail

Speciality Marriage & Family Therapist
Taxonomy 106H00000X
Licence No LMT000000024
Definition:
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4041685 TN MAGELLAN HEALTH SERVICES

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FAQs about John D Mayberry

What is the unique provider identifier assigned to John D Mayberry?

The John D Mayberry has been issued the NPI (National Provider Identifier) 1639392129 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where John D Mayberry is physically located?

The John D Mayberry is physically situated at the following address: 3225 Gold Dust Dr, Pigeon Forge, TN, 37863.

What is John D Mayberry's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for John D Mayberry is Marriage & Family Therapist, and the taxonomy classification code that categorizes this area of expertise is 106H00000X.

When was the John D Mayberry's 1639392129 issued?

The John D Mayberry's 1639392129 was issued on 2007-04-11.

As of what date were the details pertaining to John D Mayberry last refreshed?

The information related to the John D Mayberry, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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