Ken Lass, Phd

NPI 1073641205 - Psychologist - 103T00000X

NPI Details
NPI 1073641205
Enumeration Date 03/01/2007
Last Updated 07/02/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KENNETH PAUL KENNETH
Position PSYCHOLOGIST
Phone (615) 320-1481
Fax (615) 460-4202
Practice Location
331 22ND AVE N
NASHVILLE TN, 37203-1810, US
Phone (615) 320-1481
Fax (615) 460-4202
Business Location
331 22ND AVE N
NASHVILLE TN, 37203-1810, US
Phone (615) 320-1481
Fax (615) 460-4202
Toxanomy
Taxonomy Code 103T00000X
License State Tennessee
License Number P0000001356
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According to our database, Ken Lass, Phd NPI is 1073641205, taxonomy code is 103T00000X and license number is P0000001356, license state is located at Tennessee. Ken Lass, Phd physically located at 331 22nd Ave N, Nashville TN, 37203-1810. NPI Number 1033115704 has the healthcare provider type.

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1073641205 NPI number is provided on an as is basis without warranty of any kind. 1073641205 is maintained by the National Plan & Provider Enumeration System. The contents of Ken Lass, Phd are for informational purposes only.