Male or Other

Dr. Preston Visser PH.D.

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

Full Name

Dr. Preston Visser PH.D.

NPI Number

1710110747

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/25/2009

Specialties

(Taxonomies)

Code

103TC0700X
101Y00000X

Primary Taxonomy

Yes
No

Licenses

State

Illinois
Tennessee

License Number

071.008690
3242

Contact
Information

Purpose

Mailing
Location

Address

1167 SPRATLIN PARK DR
318 DONNELLY ST

City

Gray
Mountain City

State

TN
TN

Postal Code

37615-6205
37683-1510

Country

US
US

Telephone Number

(423) 467-3600
(423) 727-2100

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

Data last updated by provider on 10/28/2014

Provider Address

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Female

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Male or Other

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Male or Other

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Specialty: Clinical Psychologist (Primary)

Female

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