Individual
HEATHER L WATERHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2325 CRESTMOOR RD STE 204, NASHVILLE, TN 37215
(629) 255-2211
(629) 255-4083
Mailing address
222 22ND AVE N, NASHVILLE, TN 37203-1852
(629) 255-3486
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD35005
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1511985
—
TN
Enumeration date
10/09/2006
Last updated
07/19/2018
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