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NPI Code Detail

MEDICARE: DR. KAREN KECK SWANDER PH.D.

MEDICARE: DR. KAREN KECK SWANDER 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
1103TC1900XCounseling PsychologistP406TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740268119
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAREN KECK SWANDER PH.D.
Provider Business Mailing Address
First Line : 4877 CHAMBLISS AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37919-5122
Country : US
Telephone Number : 865-588-1923
Fax Number : 865-584-7487
Provider Business Practice Location Address
First Line : 4877 CHAMBLISS AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37919-5122
Country : US
Telephone Number : 865-588-1923
Fax Number : 865-584-7487
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2006
Last Update Date : 07/08/2007

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