Individual
KATHERINE ELEANOR ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5007 TRACE MANOR LN, KNOXVILLE, TN 37912-4843
(865) 591-1022
Mailing address
5007 TRACE MANOR LN, KNOXVILLE, TN 37912-4843
(865) 591-1022
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3863
TN
Other
Enumeration date
03/11/2009
Last updated
08/22/2024
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