| NPI | 1578733069 |
|---|---|
| Other Name | PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | JACKIE LYNN STANKIEWICZ Psychologist 615-373-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TN 2369) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |