Larry Theodore Blanz ED.D.

NPI 1073591194 - Psychologist - 103T00000X

NPI Details
NPI 1073591194
Gender Male
Enumeration Date 01/09/2006
Last Updated 08/08/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
1900 CHURCH ST 300
NASHVILLE TN, 37203-2285, US
Phone (615) 337-2026
Fax (815) 301-9511
Business Location
NASHVILLE TN, 37221-2219, US
Phone (615) 337-2026
Fax (815) 301-9511
Taxonomy Code 103T00000X
License State Tennessee
License Number P 1037
Remove 1073591194 NPI Number

According to our database, Dr. Larry Theodore Blanz ED.D. NPI is 1073591194, taxonomy code is 103T00000X and license number is P 1037, license state is located at Tennessee. Larry Theodore Blanz ED.D. physically located at 1900 Church St 300, Nashville TN, 37203-2285. NPI Number Larry Theodore Blanz ED.D. has the Individual type.

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1073591194 NPI number is provided on an as is basis without warranty of any kind. 1073591194 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Theodore Blanz ED.D. are for informational purposes only.