Neuro Institute Of East Tennessee, Pllc | |
409 Montbrook Ln Knoxville TN 37919-2704 | |
(865) 556-0537 | |
Not Available |
Full Name | Neuro Institute Of East Tennessee, Pllc |
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Speciality | Psychologist |
Location | 409 Montbrook Ln, Knoxville, Tennessee |
Authorized Official Name and Position | Nichole Miller (PSYCHOLOGIST) |
Authorized Official Contact | 8655560537 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neuro Institute Of East Tennessee, Pllc 437 Highland Hills Rd Knoxville TN 37919-4211 Ph: (865) 556-0537 | Neuro Institute Of East Tennessee, Pllc 409 Montbrook Ln Knoxville TN 37919-2704 Ph: (865) 556-0537 |
NPI Number | 1306614466 |
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Provider Enumeration Date | 12/18/2023 |
Last Update Date | 01/04/2024 |
Certification Date | 01/04/2024 |
Medicare PECOS PAC ID | 0042661878 |
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Medicare Enrollment ID | O20240105002592 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306614466 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Nichole K Miller |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1194259036 PECOS PAC ID: 0345504932 Enrollment ID: I20180508000113 |
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