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Organization

DIDS MIDDLE TN RESOURCE CENTER

Active
Parent organization
TENNESSEE DEPARTMENT OF INTELLECTUAL & DEV. DISABILITIES
Organization subpart
Yes

Provider details

NPI number
Legal business name
TENNESSEE DEPARTMENT OF INTELLECTUAL & DEV. DISABILITIES
Authorized official
DR. LEVI HARRIS PHD (DIRECTOR)
(615) 231-5048
Entity
Organization

Contact information

Practice address
275 STEWARTS FERRY PIKE, NASHVILLE, TN 37214-3325
(615) 231-5047
Mailing address
275 STEWARTS FERRY PIKE, NASHVILLE, TN 37214-3325
(615) 231-5047

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
122300000X
Dentist
124Q00000X
Dental Hygienist
126800000X
Dental Assistant
132700000X
Dietary Manager
172A00000X
Driver
174400000X
Specialist
207QA0505X
Adult Medicine Physician
Primary
224Z00000X
Occupational Therapy Assistant
225100000X
Physical Therapist
225200000X
Physical Therapy Assistant
225X00000X
Occupational Therapist
227800000X
Certified Respiratory Therapist
227900000X
Registered Respiratory Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
09/02/2011
Last updated
09/02/2011
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