Individual
PHYLLIS HOLT VILTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPE
Contact information
Practice address
620 GALLATIN PIKE S, MADISON, TN 37115-4013
(615) 460-4318
(615) 460-4308
Mailing address
1014 CHRISTOPHER LN, ASHLAND CITY, TN 37015-2823
(615) 792-2836
(615) 650-2929
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PE0000011569
TN
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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