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NPI Code Detail

MEDICARE: BRIAN EUGENE WILHOIT PHD

MEDICARE: BRIAN EUGENE WILHOIT 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
1103T00000XPsychologistP2402TN
2103TS0200XSchool PsychologistP2402TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306845250
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN EUGENE WILHOIT PHD
Provider Business Mailing Address
First Line : DEPARTMENT 888182
Second Line :
City : KNOXVILLE
State : TN
Zip : 37996-0001
Country : US
Telephone Number : 865-974-6177
Fax Number : 865-974-0135
Provider Business Practice Location Address
First Line : 1122 VOLUNTEER BLVD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37996-3452
Country : US
Telephone Number : 865-974-6395
Fax Number : 865-974-0135
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 08/31/2015

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Directions to “ BRIAN EUGENE WILHOIT PHD” Practice Location

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