Individual
DR. RENEE JEAN REPKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9217 PARK WEST BLVD, SUITE D1, KNOXVILLE, TN 37923
(865) 691-2425
(865) 531-8440
Mailing address
9217 PARK WEST BLVD, SUITE D1, KNOXVILLE, TN 37923
(865) 691-2425
(865) 531-8440
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
P1653
TN
103TC0700X
Clinical Psychologist
Primary
P1653
TN
103TP2701X
Group Psychotherapy Psychologist
P1653
TN
Other
Enumeration date
09/15/2006
Last updated
03/06/2019
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