Organization
ALLIED HEALTH PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LEWIS PROFFITT II (PRESIDENT)
(615) 552-3234
Entity
Organization
Contact information
Practice address
3056 HORN SPRINGS ROAD, LEBANON, TX 37087-1953
(615) 552-3234
(615) 449-3590
Mailing address
3056 HORN SPRINGS ROAD, LEBANON, TX 37087-1953
(615) 552-3234
(615) 449-3590
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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