Young, Peter Bernhart

Young, Peter Bernhart is an sole proprietor health care provider with primary practice located at 10820 Kingston Pike Suite 21, Knoxville TN 37934-3066. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Young, Peter Bernhart can be contacted via phone (865) 671-6935.

Contact Information

Primary practice address
10820 Kingston Pike Suite 21 Knoxville TN 37934-3066
Phone: (865) 671-6935
Fax: (865) 675-0502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X P-1466 Tennessee
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 718 West Virginia
Behavioral Health & Social Service Providers / Clinical 103TC0700X P-1466 Tennessee
Behavioral Health & Social Service Providers / Clinical 103TC0700X 718 West Virginia

Profile Details

NPI number 1326090770
LBN Legal business name Young, Peter Bernhart
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Oct 13th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326090770 NPPES
Tennessee MEDICAID 3684340
Tennessee Other 718
Tennessee Other 2007179
Tennessee Other P-1466

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