NPI 1669800769 · live from the CMS NPI Registry
Ryan Boddy, PhD
Clinical Neuropsychologist in Knoxville, TN. National Provider Identifier 1669800769, active.
NPI record
| NPI | 1669800769 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Clinical Neuropsychologist 103G00000X |
| Practice location | 9129 Cross Park Dr Ste 100, Knoxville, TN 37923 |
| Practice phone | 865-983-1899 |
| Enumerated | October 29, 2013 |
| Last updated | July 20, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical | 103TC0700X | 3221 (TN) |
| Clinical Neuropsychologist primary | 103G00000X | 3221 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.