NPI 1962695825 · live from the CMS NPI Registry
Blackshear Psychological Services, INC.
Psychologist, Clinical in Nashville, TN. National Provider Identifier 1962695825, active.
NPI record
| NPI | 1962695825 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 2011 Church St, Suite 501, Nashville, TN 37203 |
| Practice phone | 615-373-8757 |
| Enumerated | August 23, 2007 |
| Last updated | August 23, 2007 |
| Authorized official | Kristen Blackshear, Psychologist/President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 0002499 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.