Cantrell, Peggy Joyce
Cantrell, Peggy Joyce is an sole proprietor health care provider with primary practice located at 807 University Pkwy Etsu Campus, Johnson City TN 37614-6500. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cantrell, Peggy Joyce can be contacted via phone (423) 439-7777.Contact Information
Primary practice address
807 University Pkwy Etsu Campus
Johnson City TN 37614-6500
Phone: (423) 439-7777
Fax: (423) 439-5695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | P-000000901 | Tennessee |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | P-000000901 | Tennessee |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | P00000901 | Tennessee |
Profile Details
| NPI number | 1417154410 |
|---|---|
| LBN Legal business name | Cantrell, Peggy Joyce |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2007 |
| Last updated | Nov 23rd, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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