Individual
MRS. PATRICIA BLALOCK CARMODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
4555 TROUSDALE DR, NASHVILLE, TN 37204-4513
(615) 781-3000
(615) 781-8262
Mailing address
4555 TROUSDALE DR, NASHVILLE, TN 37204-4513
(615) 781-3000
(615) 781-8262
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1688
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0182878
BCBST
TN
01
—
4545065
AETNA
TN
Enumeration date
10/20/2006
Last updated
07/08/2007
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