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Individual

DR. ROBERT M NORTH SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ED.D.

Contact information

Practice address
118 MAUPIN CIR, SHELBYVILLE, TN 37160-3781
(931) 680-7576
(931) 536-4346
Mailing address
118 MAUPIN CIR, SHELBYVILLE, TN 37160-3781
(931) 580-8936
(931) 536-4346

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1300
KY
103TC0700X
Clinical Psychologist
Primary
P0000000878
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3683721
TN
05
3683728
TN
Enumeration date
07/06/2006
Last updated
07/25/2016
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