Individual
DR. DAVID ELLSWORTH WILT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
111 WESTFIELD ROAD, KNOXVILLE, TN 37919-4820
(865) 588-9572
(865) 584-6219
Mailing address
111 WESTFIELD ROAD, KNOXVILLE, TN 37919-4820
(865) 588-9572
(865) 584-6219
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P344
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008885
BLUE CROSS BLUE SHIELD
TN
05
—
3689034
—
TN
Enumeration date
02/26/2007
Last updated
07/08/2007
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