Individual
ROSLYN REVELLA PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS PSYCHOLOGY
Contact information
Practice address
2410 CHARLOTTE AVE, NASHVILLE, TN 37203-1517
(615) 321-2575
Mailing address
1729 FAWNS CREEK XING, MT JULIET, TN 37122-1225
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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