| NPI | 1932557345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN HASTY KING Licensed Psychologist 615-373-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN 3371) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |