Healthcare Provider Details

I. General information

NPI: 1376739136
Provider Name (Legal Business Name): DENISE M. STILLMAN, PHD., PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2007
Last Update Date: 06/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1128 E WEISGARBER RD SUITE 210
KNOXVILLE TN
37909-2674
US

IV. Provider business mailing address

6231 HIGHLAND PLACE WAY STE 101
KNOXVILLE TN
37919-4083
US

V. Phone/Fax

Practice location:
  • Phone: 865-264-2400
  • Fax: 865-588-6406
Mailing address:
  • Phone: 865-264-2400
  • Fax: 865-588-6406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. DENISE M. STILLMAN
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 865-264-2400