Organization
PSYCHOPHARMACOLOGY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES M REAVIS (PRESIDENT)
(931) 680-4370
Entity
Organization
Contact information
Practice address
112 QUAIL HOLLOW LN, SHELBYVILLE, TN 37160-7162
(931) 680-4370
(931) 680-4370
Mailing address
PO BOX 743, LEBANON, TN 37088-0743
(931) 680-4370
(931) 680-4699
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P0000000878
TN
103TC0700X
Clinical Psychologist
P0000002187
TN
Other
Enumeration date
07/05/2006
Last updated
09/25/2008
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