Provider Demographics
NPI:1982160917
Name:STRUNK, TEDDY H II (MS)
Entity Type:Individual
Prefix:MR
First Name:TEDDY
Middle Name:H
Last Name:STRUNK
Suffix:II
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2928 E MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37914-4515
Mailing Address - Country:US
Mailing Address - Phone:865-394-9074
Mailing Address - Fax:
Practice Address - Street 1:2928 E MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37914-4515
Practice Address - Country:US
Practice Address - Phone:865-394-9074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
1010OtherPRIVATE INSURANCE COMPANIES
1010OtherPRIVATE INSURANCE
TN1010OtherINSURANCE PROVIDERS FOR THERAPY