Local City Search for Psychiatrists, Psychologists, Therapists, Counselors and Mental Health Treatment CentersDR. 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:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | WV | 718 |
| Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | TN | P-1466 |
| N | 103TC0700X | Behavioral Health & Social Service Providers Psychologist | WV | 718 |
| N | 103TC0700X | Behavioral Health & Social Service Providers Psychologist | TN | P-1466 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 3684340 | TN | 05 | |
| PSYCHOLOGY LICENSE # | 718 | WV | 01 |
| PSYCHOLOGY LICENSE # | P-1466 | TN | 01 |
| BLUECROSSBLUESHIELD | 2007179 | TN | 01 |
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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