| Comprehensive Psychological Services Pc | |
|
108 West Summit Hill Drive Knoxville TN 37902 | |
| (865) 525-1099 | |
| (865) 525-7494 |
| Full Name | Comprehensive Psychological Services Pc |
|---|---|
| Speciality | Psychologist |
| Location | 108 West Summit Hill Drive, Knoxville, Tennessee |
| Authorized Official Name and Position | Pamela D Jones (PSYCHOLOGIST OWNER) |
| Authorized Official Contact | 8655251099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Psychological Services Pc 108 West Summit Hill Drive Knoxville TN 37902 Ph: (865) 525-1099 | Comprehensive Psychological Services Pc 108 West Summit Hill Drive Knoxville TN 37902 Ph: (865) 525-1099 |
| NPI Number | 1982646428 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 10/31/2011 |
| Medicare PECOS PAC ID | 0446410104 |
|---|---|
| Medicare Enrollment ID | O20120404000703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982646428 | NPI | - | NPPES |
| 3982642 | Medicaid | TN | |
| 4056695 | Other | TN | BCBS TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | P1947 (Tennessee) | Primary |
| Provider Name | Pamela D. Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669512364 PECOS PAC ID: 8224298997 Enrollment ID: I20120404000754 |
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