Individual
SUZY EBRAHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 LEBANON PIKE, MENTAL HEALTH CARE LINE/PSYCHIATRY, MURFREESBORO, TN 37129
(615) 225-6782
Mailing address
3400 LEBANON PIKE, MENTAL HEALTH CARE LINE/PSYCHIATRY, MURFREESBORO, TN 37129
(615) 225-6782
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
238638
NY
2084P0800X
Psychiatry Physician
Primary
67851
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238638
—
NY
Enumeration date
04/25/2007
Last updated
09/11/2023
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