Provider Demographics
NPI:1114109014
Name:KEMPER, JOSEPH ANTHONY SR (PHD LCPT)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ANTHONY
Last Name:KEMPER
Suffix:SR
Gender:M
Credentials:PHD LCPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 358
Mailing Address - Street 2:174 MAIN STREET
Mailing Address - City:DUCKTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37326
Mailing Address - Country:US
Mailing Address - Phone:423-496-3455
Mailing Address - Fax:
Practice Address - Street 1:174 MAIN STREET
Practice Address - Street 2:
Practice Address - City:DUCKTOWN
Practice Address - State:TN
Practice Address - Zip Code:37326
Practice Address - Country:US
Practice Address - Phone:423-496-3455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNCPT0000000051106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist