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Organization

EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.

Active
Parent organization
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
Other names
East Tennessee Children's Hospital Pediatric Psychology
Organization subpart
Yes

Provider details

NPI number
Legal business name
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
Authorized official
ANDREW ROSENDAHL (CHIEF FINANCIAL OFFICER)
(865) 541-8154
Entity
Organization

Contact information

Practice address
2100 CLINCH AVENUE SUITE 410, KNOXVILLE, TN 37916
(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
103TC0700X
Clinical Psychologist
103TC1900X
Counseling Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q002841
TN
Enumeration date
03/03/2008
Last updated
01/14/2026
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