Individual
MRS. JACKIE LYNN STANKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5550 FRANKLIN PIKE, SUITE 101, NASHVILLE, TN 37220-2129
(615) 373-0033
(615) 373-0073
Mailing address
5550 FRANKLIN PIKE, SUITE 101, NASHVILLE, TN 37220-2129
(615) 373-0033
(615) 373-0073
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P2369
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2899179
—
TN
Enumeration date
09/20/2005
Last updated
03/27/2008
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