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NPI Code Detail

MEDICARE: KATHLEEN RAMSEY MCGOWEN PH.D.

MEDICARE:   KATHLEEN RAMSEY MCGOWEN  PH.D.
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
1103T00000XPsychologistP837TN

General Provider Information

NPI Number : 1518952423
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN RAMSEY MCGOWEN PH.D.
Provider Business Mailing Address
First Line : PO BOX 699
Second Line :
City : MOUNTAIN HOME
State : TN
Zip : 37684-0699
Country : US
Telephone Number : 423-439-8000
Fax Number : 423-439-2200
Provider Business Practice Location Address
First Line : 222 E MAIN ST
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-5708
Country : US
Telephone Number : 423-439-8000
Fax Number : 423-439-2200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2005
Last Update Date : 11/03/2010

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Directions to “ KATHLEEN RAMSEY MCGOWEN PH.D.” Practice Location

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