Bristol Evaluation Services | |
1241 Volunteer Pkwy Ste 436 Bristol TN 37620-4659 | |
(423) 990-2315 | |
(423) 990-2316 |
Full Name | Bristol Evaluation Services |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 1241 Volunteer Pkwy, Bristol, Tennessee |
Authorized Official Name and Position | Bridges Wade Smith (SENIOR PSYCHOLOGICAL EXAMINER) |
Authorized Official Contact | 4239902315 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bristol Evaluation Services 1241 Volunteer Pkwy Ste 436 Bristol TN 37620-4659 Ph: (423) 990-2315 | Bristol Evaluation Services 1241 Volunteer Pkwy Ste 436 Bristol TN 37620-4659 Ph: (423) 990-2315 |
NPI Number | 1164846135 |
---|---|
Provider Enumeration Date | 02/12/2014 |
Last Update Date | 02/12/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164846135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 11716 (Tennessee) | Primary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | 11716 (Tennessee) | Secondary |
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