Provider Demographics
NPI:1205094869
Name:DUNN, TERESA RICHEY (MED)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:RICHEY
Last Name:DUNN
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9724 KINGSTON PIKE
Mailing Address - Street 2:SUITE 605
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3347
Mailing Address - Country:US
Mailing Address - Phone:865-357-4673
Mailing Address - Fax:865-357-4674
Practice Address - Street 1:9724 KINGSTON PIKE
Practice Address - Street 2:SUITE 605
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3347
Practice Address - Country:US
Practice Address - Phone:865-357-4673
Practice Address - Fax:865-357-4674
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-29
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2321101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health