Wellformed AI

NPI 1194875104 · live from the CMS NPI Registry

Maria Abercrombie, Ph.D.

Psychologist, Clinical in Brentwood, TN. National Provider Identifier 1194875104, active.

NPI record

NPI1194875104 Type 1 · individual
StatusActive
Primary specialtyPsychologist, Clinical 103TC0700X
Practice location7003 Chadwick Drive, Suite 152, Brentwood, TN 37027
Practice phone615-972-5333
EnumeratedJanuary 11, 2007
Last updatedMarch 11, 2015
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Psychologist, Clinical103TC0700XP1024 (TN)
Psychologist, Clinical primary103TC0700XP0000001024 (TN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.