Individual
DR. PHILIP KENNETH AXTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2210 SUTHERLAND AVE STE 114, KNOXVILLE, TN 37919-2337
(865) 556-8947
(865) 895-4142
Mailing address
2210 SUTHERLAND AVE STE 114, KNOXVILLE, TN 37919-2337
(865) 556-6092
(865) 895-4142
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2763
TN
103TC2200X
Clinical Child & Adolescent Psychologist
2763
TN
103TS0200X
School Psychologist
P2763
TN
Other
Enumeration date
03/08/2007
Last updated
09/29/2025
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