Healthcare Provider Details

I. General information

NPI: 1811190952
Provider Name (Legal Business Name): WILLIAM FORREST RYMER SLPE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 MEADOW WOOD
GREENEVILLE TN
37745-7022
US

IV. Provider business mailing address

PO BOX 1341
GREENEVILLE TN
37744-1341
US

V. Phone/Fax

Practice location:
  • Phone: 423-620-9398
  • Fax:
Mailing address:
  • Phone: 423-620-9398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License NumberPE0000000616
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPE0000000616
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License NumberPE0000000616
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberPE0000000616
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: