Individual
SHENITA HEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1621 COMANCHE RUN, MADISON, TN 37115-5634
(615) 336-6945
Mailing address
1621 COMANCHE RUN, MADISON, TN 37115-5634
(615) 336-6945
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
000591602
TN
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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