Individual
DR. LARRY THEODORE BLANZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
1900 CHURCH ST 300, NASHVILLE, TN 37203-2285
(615) 337-2026
(815) 301-9511
Mailing address
304 CHIMNEY HL, NASHVILLE, TN 37221-2219
(615) 337-2026
(815) 301-9511
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P 1037
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3684193
—
TN
Enumeration date
01/09/2006
Last updated
08/08/2015
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