NPI 1154355717

Kendra Renee Weaver, PSYD

Practitioner Addiction (Substance Use Disorder) Psychologist Mountain Home, TN

Practice location

Address: James H. Quillen/Vamc Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37684
Phone: (423) 926-1171
Mailing address: 223 Mark Dr, Gray, TN 37615-3856

Registered specialties (2)

Addiction (Substance Use Disorder) Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TA0400X Licence P0000002474 (TN)

Other Psychologist providers in Tennessee →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence P0000002474 (TN)

Registry record

NPI: 1154355717
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jul 2006
Record last updated: 11 Sep 2025

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.