Individual
DR. DENISE L SQUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
720 RIVER BEND DR, CLARKSVILLE, TN 37043-5349
(931) 553-8500
Mailing address
720 RIVER BEND DR, CLARKSVILLE, TN 37043-5349
(931) 553-8500
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1062
AL
103TC0700X
Clinical Psychologist
Primary
P2410
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515155
—
TN
01
—
4099228
BLUE CROSS BLUE SHIELD
TN
01
—
737644000
MAGELLAN BEHAVIORAL
TN
Enumeration date
08/10/2005
Last updated
03/16/2026
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