Individual
MARIE E. LA VASQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MA
Contact information
Practice address
236A OLD SHACKLE IS. RD, HENDERSONVILLE, TN 37075
(615) 822-5425
(615) 822-5553
Mailing address
236A OLD SHACKLE IS. RD, HENDERSONVILLE, TN 37075
(615) 822-5425
(615) 822-5553
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
SPE11407
TN
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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