Organization
KEN LASS, PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH PAUL LASS PHD (PSYCHOLOGIST)
(615) 460-4232
Entity
Organization
Contact information
Practice address
331 22ND AVE N, NASHVILLE, TN 37203-1810
(615) 320-1481
(615) 460-4202
Mailing address
331 22ND AVE N, NASHVILLE, TN 37203-1810
(615) 320-1481
(615) 460-4202
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P0000001356
TN
Other
Enumeration date
03/01/2007
Last updated
07/02/2008
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