IndividualActive
Ryan Boddy
NPI 1669800769 · Clinical Neuropsychologist · Knoxville, TN
Provider details
- NPI number
- 1669800769
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
9047 Executive Park Dr Ste 210
Knoxville, TN 37923-4625
Phone: (865) 684-8034
Approximate (ZIP-level) locationGet directions
Mailing address
9047 Executive Park Dr Ste 210
Knoxville, TN 37923-4625
Registry dates
- Enumerated
- 2013-10-29
- Last updated
- 2020-07-31
- Certified
- 2020-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.