| NPI | 1801158415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA HARRELL Psychologist 615-891-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN P0000002813) |
| Enumeration Date | 2012-06-10 |
| Last Update Date | 2012-06-10 |