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Lanny Clarice Bolling, PSYD
Clinical Psychologist in Johnson City, Tennessee
NPI 1578696944

Lanny Clarice Bolling is a Clinical Psychologist based in Knoxville, TN and is specialized in Clinical. Lanny Clarice Bolling practices in Johnson City, TN and has the professional credentials of PSYD. The NPI Number for Lanny Clarice Bolling is 1578696944 and holds a License No. P2824 (Tennessee).

The current practice location address for Lanny Clarice Bolling is 101 Med Tech Pkwy Ste 200, Johnson City, TN and can be reached out via phone at 423-232-6120 and via fax at 423-232-6125.

Location: 101 Med Tech Pkwy Ste 200, Johnson City, TN, 37902-1025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578696944
Provider Name
Lanny Clarice Bolling
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
101 Med Tech Pkwy Ste 200, Johnson City, TN, 37902-1025
Phone Number
423-232-6120
Fax Number
423-232-6125
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103I681458 01 TN MEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
institution
Provider Business Practice Location Address Details
Address
101 Med Tech Pkwy Ste 200
City
Johnson City
State
Tennessee
Zip
37604-4001
Phone Number
423-232-6120
Fax Number
423-232-6125
person
Provider Business Mailing Address Details
Address
101 Med Tech Pkwy Ste 200
City
Johnson City
State
Tennessee
Zip
37604-4001
Phone Number
423-232-6120
Fax Number
423-232-6125
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
P2824 (Tennessee)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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