Organization
EAST TENNESSEE PSYCHOLOGICAL TESTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP K. AXTELL PH.D. (DIRECTOR)
(865) 247-4055
Entity
Organization
Contact information
Practice address
8905 SONY LN, KNOXVILLE, TN 37923-5218
(865) 247-4055
(844) 388-6159
Mailing address
8905 SONY LN, KNOXVILLE, TN 37923-5218
(865) 247-4055
(844) 388-6159
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2763
TN
Other
Enumeration date
09/14/2011
Last updated
09/13/2016
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