| NPI | 1962695825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN P. BLACKSHEAR Psychologist/President 615-370-5193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 0002499) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |