PHILIP KENNETH AXTELL

KNOXVILLE, TN
NPI1831220920
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: TN  2763)
Additional Taxonomies103TC2200X Psychologist Clinical Child & Adolescent
(Licence: TN  2763)
103TS0200X Psychologist School
(Licence: TN  P2763)
Enumeration Date2007-03-08
Last Update Date2011-09-15
Business Address
DR. PHILIP KENNETH AXTELL PHD
200 PROSPERITY DRIVE
KNOXVILLE, TN 37923
Phone number: 865-824-2762
Mailing Address
DR. PHILIP KENNETH AXTELL PHD
1000 BRETTON RIDGE LN
KNOXVILLE, TN 37919-8721
Phone number: 865-556-6092