NPI 1407269384 · live from the CMS NPI Registry
Arianna Boddy, Psy.D.
Psychologist, Clinical Child & Adolescent in Knoxville, TN. National Provider Identifier 1407269384, active.
NPI record
| NPI | 1407269384 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical Child & Adolescent 103TC2200X |
| Practice location | 150 Fox Rd, Knoxville, TN 37922 |
| Practice phone | 865-206-7055 |
| Enumerated | June 9, 2014 |
| Last updated | January 17, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical Child & Adolescent primary | 103TC2200X | 3301 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.