Individual
MARISA WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9217 PARK WEST BLVD STE D1, KNOXVILLE, TN 37923-4420
(865) 691-2425
(865) 531-8440
Mailing address
9217 PARK WEST BLVD STE D1, KNOXVILLE, TN 37923-4420
(865) 691-2425
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3753
TN
Other
Enumeration date
03/24/2019
Last updated
08/26/2020
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