Provider Demographics
NPI:1790871861
Name:RING, JOSEPH WALTER (EDD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:WALTER
Last Name:RING
Suffix:
Gender:M
Credentials:EDD
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 307
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:TN
Mailing Address - Zip Code:37321-0307
Mailing Address - Country:US
Mailing Address - Phone:423-570-1900
Mailing Address - Fax:423-570-0008
Practice Address - Street 1:1273 DAYTON MOUNTAIN HWY
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:TN
Practice Address - Zip Code:37321-2816
Practice Address - Country:US
Practice Address - Phone:423-570-1900
Practice Address - Fax:423-570-0008
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP0000001745103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3685725Medicaid
TN3057056OtherBLUE CROSS/BLUE SHIELD
TNR55273Medicare UPIN
TN3685725Medicaid