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General NPI Number Information
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NPI Number | 1578608311
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Entity Type | Individual
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Provider Name | JONNA GAIL CARSON-WEBB PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 7030 LEE HWY STE 102
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City | CHATTANOOGA
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State | TN
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Zip | 37421-6795
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Country | US
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Telephone | 423-892-1795
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Fax | 423-414-2979
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Provider Business Mailing Address
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Address Line | PO BOX 21533
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City | CHATTANOOGA
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State | TN
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Zip | 37424-0533
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Country | US
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Telephone | 423-892-1795
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Fax | 423-414-2979
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1986
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1986
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License Number State | TN
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