Individual
DR. RYAN BODDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
9129 CROSS PARK DR STE 100, KNOXVILLE, TN 37923-4505
(865) 983-1899
(865) 409-5948
Mailing address
9129 CROSS PARK DR STE 100, KNOXVILLE, TN 37923-4505
(865) 983-1899
(865) 409-5948
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103G00000X
Clinical Neuropsychologist
Primary
3221
TN
103TC0700X
Clinical Psychologist
3221
TN
Other
Enumeration date
10/29/2013
Last updated
07/20/2026
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