Individual
DR. HEIDE SCHLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., HSP
Contact information
Practice address
633 THOMPSON LN, NASHVILLE, TN 37204-3616
(615) 460-4430
(615) 460-4433
Mailing address
633 THOMPSON LN, NASHVILLE, TN 37204-3616
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2524
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3981423
—
TN
Enumeration date
03/06/2007
Last updated
07/08/2007
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