| Knox Neuro Pllc | |
|
117 Huxley Rd Ste E Knoxville TN 37922-3179 | |
| (865) 229-3788 | |
| Not Available |
| Full Name | Knox Neuro Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 117 Huxley Rd Ste E, Knoxville, Tennessee |
| Authorized Official Name and Position | Amber Denae Rochette (CLINICAL NEUROPSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7046927482 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Knox Neuro Pllc 8143 Crimson Tree Ln Knoxville TN 37919-8674 Ph: () - | Knox Neuro Pllc 117 Huxley Rd Ste E Knoxville TN 37922-3179 Ph: (865) 229-3788 |
| NPI Number | 1174222566 |
|---|---|
| Provider Enumeration Date | 02/24/2023 |
| Last Update Date | 02/24/2023 |
| Certification Date | 02/24/2023 |
| Medicare PECOS PAC ID | 5597139014 |
|---|---|
| Medicare Enrollment ID | O20230324001154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174222566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Amber D Rochette |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164925814 PECOS PAC ID: 0749670313 Enrollment ID: I20211214002421 |
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