Healthcare Provider Details

I. General information

NPI: 1134443526
Provider Name (Legal Business Name): APPLE PSYCHOLOGICAL CONSULTANTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2010
Last Update Date: 02/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 HIGH ST.
MARYVILLE TN
37804-5831
US

IV. Provider business mailing address

339 HIGH ST.
MARYVILLE TN
37804-5831
US

V. Phone/Fax

Practice location:
  • Phone: 865-983-1899
  • Fax: 865-233-0465
Mailing address:
  • Phone: 865-983-1899
  • Fax: 865-233-0465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateTN
# 5
Primary TaxonomyY
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number2584
License Number StateTN

VIII. Authorized Official

Name: DR. CHRISTY ANN SORRELL
Title or Position: EXECUTIVE DIRECTOR, LICENSED PSYCHO
Credential: PHD
Phone: 865-983-1899