Healthcare Provider Details

I. General information

NPI: 1225504988
Provider Name (Legal Business Name): CHRISTINA MARIE KAMIEN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2018
Last Update Date: 10/22/2024
Certification Date: 10/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9047 EXECUTIVE PARK DR STE 210
KNOXVILLE TN
37923-4625
US

IV. Provider business mailing address

9129 CROSS PARK DR STE 100
KNOXVILLE TN
37923-4505
US

V. Phone/Fax

Practice location:
  • Phone: 865-983-1899
  • Fax: 423-714-2355
Mailing address:
  • Phone: 865-983-1899
  • Fax: 865-409-5948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number3710
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: