Provider Demographics
NPI:1174803670
Name:DIYANKOVA, IRINA V (PHD)
Entity type:Individual
Prefix:DR
First Name:IRINA
Middle Name:V
Last Name:DIYANKOVA
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 1:7338 JENKINS CREEK DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37931-4563
Mailing Address - Country:US
Mailing Address - Phone:865-888-0257
Mailing Address - Fax:866-991-4396
Practice Address - Street 1:9111 CROSS PARK DR STE D200
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4521
Practice Address - Country:US
Practice Address - Phone:865-888-0257
Practice Address - Fax:866-991-4396
Is Sole Proprietor?:No
Enumeration Date:2011-08-28
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP0000002869103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling