Individual
THOMAS WADE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
10263 KINGSTON PIKE, KNOXVILLE, TN 37922-3276
(865) 670-9231
(865) 531-3460
Mailing address
6350 W ANDREW JOHNSON HWY, DEPARTMENT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
000093901
TN
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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