Whalio Doctors

NPI 1467532424

Michael John Klitzke, PHD

Practitioner Clinical Neuropsychologist Knoxville, TN

Practice location

Address
6025 Brookvale Ln Suite 205, Knoxville, TN 37919-4031
Phone
(865) 588-7057
Fax
(865) 691-3163

Registered specialties (2)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 1761 (TN)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 1761 (TN)

Registry record

NPI
1467532424
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Oct 2006
Record last updated
17 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.