| Elaine Lenore Ensign, PHD | |
|
1002 Bradford Way, Kingston, TN 37763 | |
| (865) 376-1585 | |
| (865) 376-1587 |
| Full Name | Elaine Lenore Ensign |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 1002 Bradford Way, Kingston, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104896885 | NPI | - | NPPES |
| 0113007 | Other | TN | BLUE CROSS BLUE SHIELD |
| 3682131 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | P1360 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Elaine Lenore Ensign, PHD 1002 Bradford Way, Kingston, TN 37763 Ph: (865) 376-1585 | Elaine Lenore Ensign, PHD 1002 Bradford Way, Kingston, TN 37763 Ph: (865) 376-1585 |
Paul Hickling, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 183 Fiddlers Ln, Kingston, TN 37763 Phone: 865-376-2296 Fax: 865-376-0369 | |
Robert Keith Albiston, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1002 Bradford Way, Kingston, TN 37763 Phone: 865-376-1585 Fax: 865-376-1587 | |
Sharon L Bryant, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1002 Bradford Way, Kingston, TN 37763 Phone: 865-376-1585 Fax: 865-376-1587 |