Individual
DR. KENNETH PAUL LASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
331 22ND AVE N STE 2, NASHVILLE, TN 37203-1810
(615) 320-1481
(615) 460-4202
Mailing address
331 22ND AVE N STE 2, 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
05/21/2007
Last updated
07/08/2007
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