Wellformed AI

NPI 1992701577 · live from the CMS NPI Registry

Regina D Austin, Ph.D.

Psychologist, Clinical in Knoxville, TN. National Provider Identifier 1992701577, active.

NPI record

NPI1992701577 Type 1 · individual
StatusActive
Primary specialtyPsychologist, Clinical 103TC0700X
Practice location2607 Kingston Pike Ste 250, Knoxville, TN 37919
Practice phone865-264-2400
EnumeratedJune 28, 2005
Last updatedOctober 16, 2023
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Psychologist103T00000X32291 (TX)
Psychologist, Clinical primary103TC0700X2307 (TN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.