Female

Connie J. Daniel EDD

Clinical Psychologist in Chattanooga, TN(View on Map)

Full Name

Connie Joy Daniel EDD

NPI Number

1750488201

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/19/2006

Specialties

(Taxonomies)

Code

103TC0700X

Primary Taxonomy

Yes

Licenses

State

Tennessee

License Number

P0000002092

Contact
Information

Purpose

Mailing
Location

Address

3205 VERA VALLEY RD
6110 SHALLOWFORD RD

City

Franklin
Chattanooga

State

TN
TN

Postal Code

37064
37421-1894

Country

US
US

Telephone Number

(615) 591-6507
(800) 632-6074

Identifiers

Identifier

4090359
P00242852
3981313

Identifier State

TN
TN
TN

Identifier Issuer

BCBS
RAILROAD MEDICARE
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/13/2008

Provider Address

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