| NPI | 1811171739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MICHAEL HILLNER Psychologist 423-855-4091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 775) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TN 775) |
| 103G00000X Clinical Neuropsychologist (Licence: GA 1243) | |
| 103TC0700X Psychologist, Clinical (Licence: GA 1243) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TN 775) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA 1243) | |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |