Dr Ryan Boddy, is a
Clinical Neuropsychologist based in Knoxville, Tennessee. Dr Ryan Boddy is licensed to practice in Tennessee (license number 3221) and his current practice location is
9047 Executive Park Dr Ste 210, Knoxville, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(865) 684-8034.
NPI number for Dr Ryan Boddy is 1669800769 and his current mailing address is 9047 Executive Park Dr Ste 210, Knoxville, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669800769.
Healthcare Provider's Profile
| Full Name | Dr Ryan Boddy |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Neuropsychologist |
|---|
| Location | 9047 Executive Park Dr Ste 210, Knoxville, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1669800769
- Provider Enumeration Date: 10/29/2013
- Last Update Date: 07/31/2020
Medical Identifiers
Medical identifiers for Dr Ryan Boddy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669800769 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3221 (Tennessee) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 3221 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ryan Boddy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ryan Boddy,
9047 Executive Park Dr Ste 210,
Knoxville, TN 37923-4625
Ph: (865) 684-8034 | Dr Ryan Boddy,
9047 Executive Park Dr Ste 210,
Knoxville, TN 37923-4625
Ph: (865) 684-8034 |
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