Individual
LISA CHRISTINE PELLEGRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1412 17TH AVE S, NASHVILLE, TN 37212-2804
(615) 823-3802
Mailing address
1412 17TH AVE S, NASHVILLE, TN 37212-2804
(615) 823-3802
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2577
TN
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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