NPI 1124249719

John David Vickery, PHD

Practitioner Psychologist Jackson, TN

Practice location

Address: 3363 Highway 45 North, Jackson, TN 38305
Phone: (731) 664-8444

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence P1021 (TN)

Other Psychologist providers in Tennessee →

Registry record

NPI: 1124249719
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.