| Martha Wike, Ph.d., P.c. | |
|
4006 Sutherland Ave Knoxville TN 37919-5103 | |
| (865) 584-6111 | |
| Not Available |
| Full Name | Martha Wike, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4006 Sutherland Ave, Knoxville, Tennessee |
| Authorized Official Name and Position | Martha Wike (PRESIDENT) |
| Authorized Official Contact | 8655846111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martha Wike, Ph.d., P.c. Po Box 11423 Knoxville TN 37939-1423 Ph: (865) 584-6111 | Martha Wike, Ph.d., P.c. 4006 Sutherland Ave Knoxville TN 37919-5103 Ph: (865) 584-6111 |
| NPI Number | 1083059166 |
|---|---|
| Provider Enumeration Date | 05/02/2013 |
| Last Update Date | 05/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083059166 | NPI | - | NPPES |
| 1518034 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1710 (Tennessee) | Primary |
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