| NPI | 1932321601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HILLNER Psychologist 423-855-4091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TN 775) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: GA 1243) |
| 103TC0700X Psychologist, Clinical (Licence: GA 1243) | |
| 103TC0700X Psychologist, Clinical (Licence: TN 775) | |
| 1041C0700X Social Worker, Clinical (Licence: TN IP481) | |
| 103TC0700X Psychologist, Clinical (Licence: TN P577) | |
| 103TF0200X Psychologist, Forensic (Licence: TN P577) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |