Individual
MATTHEW LAVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1004 HICKORY HILL LN, SUITE 4, HERMITAGE, TN 37076-1930
(615) 902-0950
Mailing address
1004 HICKORY HILL LN, SUITE 4, HERMITAGE, TN 37076-1930
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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