Provider Demographics
NPI:1538218375
Name:WHITNEY, ANNE (PHD)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 N NORTHSHORE DR
Mailing Address - Street 2:SUITE S-490
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-4005
Mailing Address - Country:US
Mailing Address - Phone:865-584-0171
Mailing Address - Fax:865-584-0171
Practice Address - Street 1:1111 N NORTHSHORE DR
Practice Address - Street 2:SUITE S-490
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-4005
Practice Address - Country:US
Practice Address - Phone:865-584-0171
Practice Address - Fax:865-584-0171
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP1240103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3074492OtherBLUE CROSS BLUE SHIELD
TN3685211Medicaid
TN3685211Medicare ID - Type Unspecified