Healing Trauma

NPI 1417230608 - Psychologist - 103TC1900X

NPI Details
NPI 1417230608
Enumeration Date 09/23/2011
Last Updated 09/23/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name IRINA V IRINA
Position OWNER
Phone (865) 250-0728
Fax
Practice Location
108 W SUMMIT HILL DR
KNOXVILLE TN, 37902-1025, US
Phone (865) 250-0728
Fax
Business Location
7338 JENKINS CREEK DR
KNOXVILLE TN, 37931-4563, US
Phone (865) 250-0728
Fax
Toxanomy
Taxonomy Code 103TC1900X
License State Tennessee
License Number P0000002869
Remove 1417230608 NPI Number
 

According to our database, Healing Trauma NPI is 1417230608, taxonomy code is 103TC1900X and license number is P0000002869, license state is located at Tennessee. Healing Trauma physically located at 108 W Summit Hill Dr, Knoxville TN, 37902-1025. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1417230608 NPI number is provided on an as is basis without warranty of any kind. 1417230608 is maintained by the National Plan & Provider Enumeration System. The contents of Healing Trauma are for informational purposes only.