Individual
YVETTE MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
11205 LEBANON RD PMB 1008, MT. JULIET, TN 37122
(615) 412-8909
Mailing address
11205 LEBANON RD PMB 1008, MT JULIET, TN 37122
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY 9599
FL
103TC1900X
Counseling Psychologist
Primary
3980
TN
Other
Enumeration date
07/29/2016
Last updated
12/17/2024
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