| NPI | 1275867053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINA LYNISE BURKHART Clinical Psychologist 615-630-0315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN P2609) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-09-25 |