| NPI | 1073641205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH PAUL LASS Psychologist 615-460-4232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN P0000001356) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2008-07-02 |