Individual
BRIAN R HUMPHREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
15 FOREST CT, KNOXVILLE, TN 37919-5002
(865) 588-9919
Mailing address
15 FOREST CT, KNOXVILLE, TN 37919-5002
(865) 588-9919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P1491
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0124826
BCBS TN
TN
Enumeration date
12/13/2006
Last updated
07/08/2007
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