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)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