Whalio Doctors

NPI 1154610723

Lisa Paderna, PHD

Practitioner Clinical Psychologist Mountain Home, TN

Practice location

Address
James H. Quillen Vamc 116b, Mountain Home, TN 37684
Phone
(423) 926-1171
Mailing address
PO Box 4000, 116b James H. Quillen Vamc, Mountain Home, TN 37684

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence P2875 (TN)

Registry record

NPI
1154610723
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Apr 2011
Record last updated
4 Apr 2011

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.