Individual
ALLISON RENEE ELLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2100 CLINCH AVENUE SUITE 220, KNOXVILLE, TN 37916-2298
(865) 343-6976
(877) 554-2891
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901-5004
(865) 541-8895
(865) 633-4808
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3273
TN
103TC0700X
Clinical Psychologist
3273
TN
103TC1900X
Counseling Psychologist
3273
TN
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
3273
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q019211
—
TN
Enumeration date
10/23/2014
Last updated
05/28/2024
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