Organization
SOUTHEAST PSYCH NASHVILLE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN HASTY KING PSY.D. (LICENSED PSYCHOLOGIST)
(615) 373-9955
Entity
Organization
Contact information
Practice address
5409 MARYLAND WAY, SUITE 202, BRENTWOOD, TN 37027-5037
(615) 373-9955
Mailing address
5409 MARYLAND WAY, SUITE 202, BRENTWOOD, TN 37027-5037
(615) 373-9955
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3371
TN
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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