Provider Demographics
NPI:1356655294
Name:GAERTNER, ALDEN ELIZABETH (PHD)
Entity type:Individual
Prefix:
First Name:ALDEN
Middle Name:ELIZABETH
Last Name:GAERTNER
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 1:6231 HIGHLAND PLACE WAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-4026
Mailing Address - Country:US
Mailing Address - Phone:865-584-8547
Mailing Address - Fax:865-584-5932
Practice Address - Street 1:6231 HIGHLAND PLACE WAY
Practice Address - Street 2:SUITE 201
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-4026
Practice Address - Country:US
Practice Address - Phone:865-584-8547
Practice Address - Fax:865-584-5932
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-03
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3154103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist