# JACKIE L. STANKIEWICZ, PH.D.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Psychological Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578733069
- **Authorized official:** DR. JACKIE LYNN STANKIEWICZ PH.D. (PSYCHOLOGIST)
- **Authorized official phone:** (615) 373-0033

## Contact information

- **Practice address:** 5550 FRANKLIN PIKE, SUITE 101, NASHVILLE, TN 37220-2129
- **Practice address phone:** (615) 373-0033
- **Practice address fax:** (615) 373-0073
- **Mailing address:** 5550 FRANKLIN PIKE, SUITE 101, NASHVILLE, TN 37220-2129
- **Mailing address phone:** (615) 373-0033
- **Mailing address fax:** (615) 373-0073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 2369 | TN | Yes |

## Other

- **Enumeration date:** 03/11/2008
- **Last updated:** 03/11/2008