Organization
HEALING TRAUMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRINA V DIYANKOVA PH.D. (OWNER)
(865) 250-0728
Entity
Organization
Contact information
Practice address
108 W SUMMIT HILL DR, KNOXVILLE, TN 37902-1025
(865) 250-0728
Mailing address
7338 JENKINS CREEK DR, KNOXVILLE, TN 37931-4563
(865) 250-0728
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
P0000002869
TN
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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