Individual
MRS. NATASHA RENINA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 UNION ST STE 508, NASHVILLE, TN 37219-1705
(615) 930-7310
Mailing address
501 UNION ST STE 508, NASHVILLE, TN 37219-1705
(615) 930-7310
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000
—
TN
Enumeration date
12/10/2021
Last updated
12/10/2021
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