MEDICARE: DOGWOOD PSYCHOLOGICAL SERVICES OF EAST TENNESSEE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1427812411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOGWOOD PSYCHOLOGICAL SERVICES OF EAST TENNESSEE

Provider Business Mailing Address
First Line	:	415 E UNAKA AVE
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37601-4030
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 E UNAKA AVE
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37601-4030
Country	:	US
Telephone Number	:	423-364-2972
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	HOLLY SKINNER
Credential	:
Telephone Number	:	501-464-1664

Provider Enumeration Date	:	02/09/2024
Last Update Date	:	02/09/2024

Similar Medicare Providers

1316940182 — DR. JUDITH G TUDIVER PH.D.
Practice Location Address:

415 E UNAKA AVE
JOHNSON CITY, TN
37601-4030

Practice Phone: 423-341-4752
Practice Fax: 423-283-0931

1225137755 — DR. BRIAN VAUGHN ABBOTT PH.D.
Practice Location Address:

415 E UNAKA AVE
JOHNSON CITY, TN
37601-4030

Practice Phone: 901-337-7765
Practice Fax:

1790232270 — JAMES ERIC FELTMAN LPC-MHSP
Practice Location Address:

415 E UNAKA AVE
JOHNSON CITY, TN
37601-4030

Practice Phone: 423-218-2048
Practice Fax:

1386595965 — NATHAN GIBSON
Practice Location Address:

409 E UNAKA AVE
JOHNSON CITY, TN
37601-4030

Practice Phone: 423-202-4472
Practice Fax:

1184232605 — DR. BESS LEWIS PSYD
Practice Location Address:

1735 W STATE FRANKLIN ROAD , STE 5 #180
JOHNSON CITY, TN
37604-4030

Practice Phone: 423-631-5873
Practice Fax:

1487179347 — KATHY AMIESYS BAUTISTA
Practice Location Address:

131 JOHNSON ST APT 6
LYNN, MA
01902-4030

Practice Phone: 781-584-9081
Practice Fax:

Directions to “DOGWOOD PSYCHOLOGICAL SERVICES OF EAST TENNESSEE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.