Individual
DR. AMANDA SURDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
162D MARKET PLACE BLVD, KNOXVILLE, TN 37922-2337
(865) 212-6600
(865) 313-2149
Mailing address
12187 INGLECREST LN, FARRAGUT, TN 37934-5321
(901) 338-1219
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3506
TN
103TC0700X
Clinical Psychologist
54-947
MS
Other
Enumeration date
10/08/2014
Last updated
02/20/2020
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