Individual
DR. DIVYA KANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2015 TERRACE PL, NASHVILLE, TN 37203-2412
(612) 322-2571
Mailing address
4101 WATERFORD CIR, NASHVILLE, TN 37221-2150
(901) 340-4625
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P0000003099
TN
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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