Provider Demographics
NPI:1710218342
Name:CLAPP, ANDREA LEIGH (MED)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:LEIGH
Last Name:CLAPP
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
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Mailing Address - Street 1:1526 LORI LEA DRIVE
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37803-5859
Mailing Address - Country:US
Mailing Address - Phone:865-640-1991
Mailing Address - Fax:
Practice Address - Street 1:9111 CROSS PARK DRIVE
Practice Address - Street 2:SUITE E475
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4533
Practice Address - Country:US
Practice Address - Phone:865-560-2587
Practice Address - Fax:865-560-2580
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-21
Last Update Date:2010-01-21
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health