Organization
L. MICHAEL SHERROD, PH.D, , P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. L. MICHAEL SHERROD PH.D. (PRESIDENT)
(865) 691-2425
Entity
Organization
Contact information
Practice address
9217 PARK WEST BLVD, SUITE D1, KNOXVILLE, TN 37923-4404
(865) 691-2425
(865) 531-8440
Mailing address
9217 PARK WEST BLVD, SUITE D1, KNOXVILLE, TN 37923-4404
(865) 691-2425
(865) 531-8440
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
532
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014156
BCBSTN
TN
01
—
23871
CIGNABEHAVIORALHEALTH
TN
01
—
257987
COMPSYCH
TN
05
—
3683167
—
TN
01
—
5226618
AETNA
TN
01
—
932
PRIME PROVIDER SYSTEMS
TN
01
—
9455777
PHCS
TN
Enumeration date
10/21/2006
Last updated
04/20/2008
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