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DR. PETER BERNHART YOUNG PHD

Clinical Neuropsychologist

Knoxville, Tennessee

Provider NPI: 1326090770

Provider Information:
DR. PETER BERNHART YOUNG PHD
Gender: M
Sole Proprietor


Practice Location:
10820 KINGSTON PIKE SUITE 21 KNOXVILLE, TN 37934 US
Tel: 865-671-6935  Fax: 865-675-0502

Business Mailing Address:
10820 KINGSTON PIKE SUITE 21 KNOXVILLE, TN 37934 US
Tel: 865-671-6935  Fax: 865-675-0502

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
WV718
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
TNP-1466
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
WV718
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
TNP-1466

Other Provider Identifiers:

IssuerNumberStateType
3684340TN05
PSYCHOLOGY LICENSE #718WV01
PSYCHOLOGY LICENSE #P-1466TN01
BLUECROSSBLUESHIELD2007179TN01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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