Individual
DR. HEATHER KRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-3133
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
P3155
TN
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
P3155
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS01191
PROFESSIONAL LICENSE
RI
Enumeration date
07/23/2008
Last updated
03/25/2022
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