Provider First Line Business Practice Location Address:
1404 CIRCLE DR DEPT OF PSYCHOLOGY
Provider Second Line Business Practice Location Address:
UNIVERSITY OF TENNESSEE
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37996-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-974-2204
Provider Business Practice Location Address Fax Number:
865-974-3330
Provider Enumeration Date:
10/13/2009