Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 4391036 | TN |
NPI | 1063549640 |
---|---|
Provider Name | Dr. Joan S. Harrigan |
First Address | Knoxville, TN 37922-3209 |
Second Address | Knoxville, TN 37922-3209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0124157 | BLUE CROSS (01) | TN |
3686559 | (05) | TN |