Healthcare Provider Details

I. General information

NPI: 1235700626
Provider Name (Legal Business Name): HANNAH HUNTER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2021
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9217 PARK WEST BLVD STE D1
KNOXVILLE TN
37923-4420
US

IV. Provider business mailing address

9217 PARK WEST BLVD STE D1
KNOXVILLE TN
37923-4420
US

V. Phone/Fax

Practice location:
  • Phone: 865-691-2425
  • Fax:
Mailing address:
  • Phone: 865-691-2425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number4185
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: