Healthcare Provider Details

I. General information

NPI: 1326100975
Provider Name (Legal Business Name): HELEN SMITH PDHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HELEN SMITH PHD

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 KINGSTON PIKE 285
KNOXVILLE TN
37919-5022
US

IV. Provider business mailing address

8905 KINGSTON PIKE 12 230
KNOXVILLE TN
37923-5005
US

V. Phone/Fax

Practice location:
  • Phone: 865-679-1205
  • Fax:
Mailing address:
  • Phone: 865-679-1205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberP0000001946
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License NumberP0000001946
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberP0000001946
License Number StateTN
# 4
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberP0000001946
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: