Individual
DR. ERIC S. ENGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., J.D.
Contact information
Practice address
CROSS PARK PLAZA, SUITE D266, 9111 CROSS PARK DRIVE, KNOXVILLE, TN 37923-4506
(865) 531-0560
(865) 531-2846
Mailing address
CROSS PARK PLAZA, SUITE D266, 9111 CROSS PARK DRIVE, KNOXVILLE, TN 37923-4506
(865) 531-0560
(865) 531-2846
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
P0000000908
TN
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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