Gaston Therapy, Llc

NPI 1437357456 - Psychologist - 103TC0700X

NPI Details
NPI 1437357456
Enumeration Date 07/11/2007
Last Updated 03/05/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MELODY CLEMENTS MELODY
Position CHIEF MANAGER
Phone (423) 468-4060
Fax (423) 468-4069
Practice Location
112 JORDAN DR
CHATTANOOGA TN, 37421-6802, US
Phone (423) 468-4060
Fax (423) 468-4069
Business Location
112 JORDAN DR
CHATTANOOGA TN, 37421-6802, US
Phone (423) 468-4060
Fax (423) 468-4069
Toxanomy
Taxonomy Code 103TC0700X
License State Tennessee
License Number 2774
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According to our database, Gaston Therapy, Llc NPI is 1437357456, taxonomy code is 103TC0700X and license number is 2774, license state is located at Tennessee. Gaston Therapy, Llc physically located at 112 Jordan Dr, Chattanooga TN, 37421-6802. NPI Number 1033115704 has the healthcare provider type.

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1437357456 NPI number is provided on an as is basis without warranty of any kind. 1437357456 is maintained by the National Plan & Provider Enumeration System. The contents of Gaston Therapy, Llc are for informational purposes only.