| R Jeff Slavin Phd Pc | |
|
530 E Broadway Ave Maryville TN 37804-5730 | |
| (865) 982-6370 | |
| (865) 983-1810 |
| Full Name | R Jeff Slavin Phd Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 530 E Broadway Ave, Maryville, Tennessee |
| Authorized Official Name and Position | Robert Jeff Slavin (PSYCHOLOGIST / PRESIDENT) |
| Authorized Official Contact | 8659826370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R Jeff Slavin Phd Pc 530 E Broadway Ave Maryville TN 37804-5730 Ph: (865) 982-6370 | R Jeff Slavin Phd Pc 530 E Broadway Ave Maryville TN 37804-5730 Ph: (865) 982-6370 |
| NPI Number | 1811907041 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811907041 | NPI | - | NPPES |
| 3684524 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | P0000000505 (Tennessee) | Primary |
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