| NPI | 1992359335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ISTVAN President 865-693-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TP0016X Psychologist, Prescribing (Medical) | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |