| Renew Psychology - Rehabilitation And Neuropsychology Services Pllc | |
|
10258 Baker Boy Dr Ooltewah TN 37363-5897 | |
| (423) 295-8335 | |
| (423) 295-9318 |
| Full Name | Renew Psychology - Rehabilitation And Neuropsychology Services Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 10258 Baker Boy Dr, Ooltewah, Tennessee |
| Authorized Official Name and Position | Rebecca J Cicha (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4232958335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Psychology - Rehabilitation And Neuropsychology Services Pllc 10258 Baker Boy Dr Ooltewah TN 37363-5897 Ph: (423) 295-8335 | Renew Psychology - Rehabilitation And Neuropsychology Services Pllc 10258 Baker Boy Dr Ooltewah TN 37363-5897 Ph: (423) 295-8335 |
| NPI Number | 1588489454 |
|---|---|
| Provider Enumeration Date | 11/18/2024 |
| Last Update Date | 11/18/2024 |
| Certification Date | 11/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588489454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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