Mr George Thomas Netherton, LPC LPE LADAC is a
Psychologist - Health Service based in Crossville, Tennessee. Mr George Thomas Netherton is licensed to practice in Tennessee (license number PE011566) and his current practice location is
261 Yvonne Avenue, Crossville, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(931) 707-8921.
NPI number for Mr George Thomas Netherton is 1225068794 and his current mailing address is 87 Daddys Creek Lane, Crossville, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225068794.
Healthcare Provider's Profile
Full Name | Mr George Thomas Netherton |
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Gender | Male |
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Speciality | Psychologist - Health Service |
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Location | 261 Yvonne Avenue, Crossville, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225068794
- Provider Enumeration Date: 07/03/2006
- Last Update Date: 04/11/2013
Medical Identifiers
Medical identifiers for Mr George Thomas Netherton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225068794 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | LPC00735 (Tennessee) | Secondary |
103TH0100X | Psychologist - Health Service | PE011566 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr George Thomas Netherton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr George Thomas Netherton, LPC LPE LADAC 87 Daddys Creek Lane, Crossville, TN 38555-1569 Ph: (931) 707-8921 | Mr George Thomas Netherton, LPC LPE LADAC 261 Yvonne Avenue, Crossville, TN 38555-1569 Ph: (931) 707-8921 |
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