Provider Demographics
NPI:1215136544
Name:CAMENZIND, KATIE F (PHD)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:F
Last Name:CAMENZIND
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:LAUREN
Other - Last Name:FITZPATRICK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:209 DREAM VIEW DR
Mailing Address - Street 2:
Mailing Address - City:MILLS RIVER
Mailing Address - State:NC
Mailing Address - Zip Code:28759-7671
Mailing Address - Country:US
Mailing Address - Phone:865-386-8329
Mailing Address - Fax:
Practice Address - Street 1:305 WESTFIELD DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919
Practice Address - Country:US
Practice Address - Phone:865-264-2400
Practice Address - Fax:865-588-6406
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist