| NPI | 1053530469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE PARKER Office Administrator 615-310-1491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TN 2431) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2021-09-22 |