Individual
DR. LAUTURE MASSAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
190 HILL TOP LN, WAVERLY, TN 37185-3821
(931) 296-4930
(931) 296-8002
Mailing address
190 HILL TOP LN, WAVERLY, TN 37185-3821
(931) 296-4930
(931) 296-8002
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P2922
TN
Other
Enumeration date
04/04/2011
Last updated
05/05/2011
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