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MR. PHILIP ALAN RANDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.S.

Contact information

Practice address
2607 KINGSTON PIKE STE 2, KNOXVILLE, TN 37919-3333
(865) 245-5011
Mailing address
6350 W ANDREW JOHNSON HWY, DEPARTMENT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3750
TN
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
09/05/2012
Last updated
03/31/2026
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