Joseph Anthony Kemper Sr., PHD LCPT

Individual provider Active NPI Marriage & Family Therapist · Ducktown, TN

NPI 1114109014 · NPPES record last updated Dec 3, 2007

Key facts

NPI
1114109014
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
CPT0000000051 (TN)
Practice address
174 Main Street
Ducktown, TN 37326
Phone
(423) 496-3455
NPI assigned
Dec 3, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CPT0000000051TNMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X CPT0000000051 TN Yes

Addresses

Primary practice location

174 Main Street
Ducktown, TN 37326

Mailing address

PO Box 358
174 Main Street
Ducktown, TN 37326
Phone (423) 496-3455

Other providers in Ducktown, TN

All providers in Ducktown, TN · Marriage & Family Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.