Provider Demographics
NPI:1831377753
Name:MCMURRAY, SUMMERS KIMBROUGH (PSYD)
Entity type:Individual
Prefix:
First Name:SUMMERS
Middle Name:KIMBROUGH
Last Name:MCMURRAY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:SUMMERS
Other - Last Name:KIMBROUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:325 EBENEEZER RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923
Mailing Address - Country:US
Mailing Address - Phone:865-670-0988
Mailing Address - Fax:
Practice Address - Street 1:325 EBENEEZER RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923
Practice Address - Country:US
Practice Address - Phone:865-670-0988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2611103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist