MEDICARE: KATHERINE ELEANOR ELLIS PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	3863	TN

General Provider Information

NPI Number	:	1215178827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE ELEANOR ELLIS PHD

Provider Business Mailing Address
First Line	:	5007 TRACE MANOR LN
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37912-4843
Country	:	US
Telephone Number	:	865-591-1022
Fax Number	:

Provider Business Practice Location Address
First Line	:	5007 TRACE MANOR LN
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37912-4843
Country	:	US
Telephone Number	:	865-591-1022
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2009
Last Update Date	:	08/22/2024

Similar Medicare Providers

1649216052 — SCOTT A COURTLEY D.C.
Practice Location Address:

11915 KINGSTON PIKE STE 100
KNOXVILLE, TN
37934-4843

Practice Phone: 865-986-8088
Practice Fax: 865-986-5400

1376475293 — TAYLOR BRYNN FANN
Practice Location Address:

5645 MERCHANTS CENTER BLVD
KNOXVILLE, TN
37912-3470

Practice Phone: 865-257-9982
Practice Fax:

1184622441 — BRUCE DEVIN GILLILAND O.D.
Practice Location Address:

715 CALLAHAN DR
KNOXVILLE, TN
37912-1302

Practice Phone: 865-687-1232
Practice Fax: 865-687-8256

1730187915 — JUDY P HAVNER LCSW
Practice Location Address:

5112 SCHUBERT RD
KNOXVILLE, TN
37912-3832

Practice Phone: 865-687-7090
Practice Fax: 865-688-3767

1770583007 — MS. JUDITH O STANSBERRY LPC/MHSP
Practice Location Address:

109 STEKOIA LN
KNOXVILLE, TN
37912-1608

Practice Phone: 865-938-4381
Practice Fax: 865-938-4382

1346240462 — LAYKOON TAN HUANG MD MPH
Practice Location Address:

108 W INSKIP DR , SUITE B
KNOXVILLE, TN
37912-4058

Practice Phone: 865-687-2277
Practice Fax: 865-689-5336

Directions to “ KATHERINE ELEANOR ELLIS PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.