Individual
DR. SUSAN B CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2011 ASHWOOD AVE, NASHVILLE, TN 37212
(615) 889-4447
(615) 889-5891
Mailing address
2011 ASHWOOD AVE, SUITE 331, NASHVILLE, TN 37212
(615) 383-4694
(615) 383-0228
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P1477
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016715
VALUE OPTIONS
TN
01
—
091862000
MAGELLAN
TN
01
—
175814
COMPSYCH
TN
01
—
3159358
BLUE CROSS BLUE SHIELD
TN
05
—
3687099
—
TN
01
—
4346718
AETNA
TN
01
—
620006821
TRICARE/CHAMPUS
TN
Enumeration date
08/25/2005
Last updated
06/19/2018
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