Individual
MICHAEL SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 FOREST CT, KNOXVILLE, TN 37919-5079
(865) 673-8888
Mailing address
5417 HOLSTON HILLS RD, KNOXVILLE, TN 37914-5131
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P1043
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P1043
NONE
TN
Enumeration date
03/15/2019
Last updated
06/11/2019
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