Individual
MICHAEL CANNON LOFTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
750 OLD HICKORY BLVD, BLDG #2, SUITE 150, BRENTWOOD, TN 37027-4528
(615) 371-6188
(615) 595-2865
Mailing address
1230 LIMERICK LN, FRANKLIN, TN 37067-8514
(615) 371-6188
(615) 595-2865
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P0000002412
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3585304
—
TN
01
—
4047159
BCBS OF TENNESSEE
TN
01
—
4133923
BLUE CROSS BLUE SHIELD TN
TN
Enumeration date
06/08/2006
Last updated
07/08/2007
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