Axtell, Philip Kenneth

Axtell, Philip Kenneth is an individual health care provider with primary practice located at 200 Prosperity Drive , Knoxville TN 37923. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Axtell, Philip Kenneth can be contacted via phone (865) 824-2762.

Contact Information

Primary practice address
200 Prosperity Drive Knoxville TN 37923
Phone: (865) 824-2762
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2763 Tennessee
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 2763 Tennessee
Behavioral Health & Social Service Providers / School 103TS0200X P2763 Tennessee

Profile Details

NPI number 1831220920
LBN Legal business name Axtell, Philip Kenneth
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Sep 15th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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