Basic Information
Provider Information
NPI: 1245481357
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMSEY
FirstName: BOBBIE
MiddleName: BURTON
NamePrefix:  
NameSuffix:  
Credential: PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: BURTON
OtherFirstName: BOBBIE
OtherMiddleName: ANN
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 1923 SULPHUR SPRINGS RD
Address2:  
City: MORRISTOWN
State: TN
PostalCode: 378135654
CountryCode: US
TelephoneNumber: 8003553565
FaxNumber: 4237142355
Practice Location
Address1: 6350 W A J HWY
Address2:  
City: TALBOTT
State: TN
PostalCode: 37877
CountryCode: US
TelephoneNumber: 4235877337
FaxNumber: 4235860614
Other Information
ProviderEnumerationDate: 10/07/2008
LastUpdateDate: 03/22/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TS0200XP2870TNY Behavioral Health & Social Service ProvidersPsychologistSchool

No ID Information.


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