| John C. House, Phd | |
|
135 Fox Rd Suite E Knoxville TN 37922-3349 | |
| (865) 567-5648 | |
| (865) 531-3948 |
| Full Name | John C. House, Phd |
|---|---|
| Speciality | Psychologist |
| Location | 135 Fox Rd, Knoxville, Tennessee |
| Authorized Official Name and Position | John C. House (PERSIDENT) |
| Authorized Official Contact | 8655675648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John C. House, Phd 135 Fox Rd Suite E Knoxville TN 37922-3349 Ph: (865) 567-5648 | John C. House, Phd 135 Fox Rd Suite E Knoxville TN 37922-3349 Ph: (865) 567-5648 |
| NPI Number | 1811148273 |
|---|---|
| Provider Enumeration Date | 10/03/2008 |
| Last Update Date | 10/03/2008 |
| Medicare PECOS PAC ID | 0143262220 |
|---|---|
| Medicare Enrollment ID | O20081117000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811148273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | P1522 (Tennessee) | Primary |
| 103TP2701X | Psychologist - Group Psychotherapy | P1522 (Tennessee) | Secondary |
| Provider Name | John C House |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407075609 PECOS PAC ID: 0143262238 Enrollment ID: I20050603000830 |
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