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Individual

DR. BAYARD DODGE REA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D

Contact information

Practice address
2919 BERRY HILL DR, NASHVILLE, TN 37204-3126
(615) 577-0995
(614) 577-0997
Mailing address
2919 BERRY HILL DR, NASHVILLE, TN 37204-3126
(615) 577-0995
(614) 577-0997

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0000002482
TN
103TF0000X
Family Psychologist
0000002482
TN
103TP2701X
Group Psychotherapy Psychologist
0000002482
TN

Other

Enumeration date
06/27/2007
Last updated
07/24/2007
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