Individual
PATRICK JOSEPH MCNICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2018 WESTERN AVE, KNOXVILLE, TN 37921-5718
(865) 544-0406
(865) 544-0480
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 317-9344
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3839
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/12/2020
Last updated
09/12/2023
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