Organization
GERIATRIC PSYCHOLOGY AFFILIATES LLC
Active
Organization
GERIATRIC PSYCHOLOGY AFFILIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA NORTH (OWNER)
(615) 948-1970
Entity
Organization
Contact information
Practice address
118 MAUPIN CIR, SHELBYVILLE, TN 37160-3781
(615) 948-1970
(615) 536-4346
Mailing address
118 MAUPIN CIR, SHELBYVILLE, TN 37160-3781
(615) 948-1970
(615) 536-4346
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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