| NPI | 1316491343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PAYNE Licensed Psychologist, Hsp 615-418-4217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TN 2923) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |