Female

Jennifer A. Correll BA

Clinical Psychologist in Johnson City, TN(View on Map)

Full Name

Jennifer Aileen Correll BA

NPI Number

1457545402

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/04/2007

Specialties

(Taxonomies)

Code

103TC0700X

Primary Taxonomy

Yes

Licenses

State

South Carolina
Tennessee

License Number

1277
3451

Contact
Information

Purpose

Mailing
Location

Address

119 BOONE RIDGE DR
119 BOONE RIDGE DR

City

Johnson City
Johnson City

State

TN
TN

Postal Code

37615-4998
37615-4998

Country

US
US

Telephone Number

(423) 282-1480
(423) 282-1480

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

Data last updated by provider on 03/13/2017

Provider Address

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