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General NPI Number Information
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NPI Number | 1043114838
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Entity Type | Organization
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Legal Business Name | FERRELL PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 116 AGNES RD STE 200
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City | KNOXVILLE
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State | TN
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Zip | 37919-6306
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Country | US
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Telephone | 786-223-5092
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Fax |
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Provider Business Mailing Address
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Address Line | 200 ERNEST DR
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City | LEBANON
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State | TN
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Zip | 37087-1673
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Country | US
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Telephone | 786-223-5092
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | AGUSTINA FERRELL
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Credential | PSY.D.
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Telephone | 786-223-5092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State | NULL
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