Organization
MICHEAL J KLITZKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOHN KLITZKE PHD (PRESIDENT/OWNER)
(865) 588-6916
Entity
Organization
Contact information
Practice address
6025 BROOKVALE LN, SUITE 205, KNOXVILLE, TN 37919-4031
(865) 588-6916
Mailing address
6025 BROOKVALE LN, SUITE 205, KNOXVILLE, TN 37919-4031
(865) 588-6916
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1761
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3688001
—
TN
Enumeration date
04/17/2008
Last updated
04/17/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up