Clarksville Behavioral Health, Llc

NPI 1174965420 - Psychologist - 103T00000X

NPI Details
NPI 1174965420
Enumeration Date 07/26/2013
Last Updated 09/16/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name DEMETRICE RENA DEMETRICE
Position OFFICE MANAGER
Phone (931) 494-7131
Fax (888) 643-6070
Practice Location
298 WARFIELD BLVD
SUITE B
CLARKSVILLE TN, 37043-1828, US
Phone (931) 494-7131
Fax (888) 643-6070
Business Location
298 WARFIELD BLVD
SUITE B
CLARKSVILLE TN, 37043-1828, US
Phone (931) 494-7131
Fax (888) 643-6070
Toxanomy
Taxonomy Code 103T00000X
License State Tennessee
License Number 1942
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According to our database, Clarksville Behavioral Health, Llc NPI is 1174965420, taxonomy code is 103T00000X and license number is 1942, license state is located at Tennessee. Clarksville Behavioral Health, Llc physically located at 298 Warfield Blvd, Clarksville TN, 37043-1828. NPI Number 1033115704 has the healthcare provider type.

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1174965420 NPI number is provided on an as is basis without warranty of any kind. 1174965420 is maintained by the National Plan & Provider Enumeration System. The contents of Clarksville Behavioral Health, Llc are for informational purposes only.