Provider Demographics
NPI:1003304577
Name:NASHVILLE PSYCHOLOGICAL ASSESSMENT AND LEARNING ASSOCIATES
Entity Type:Organization
Organization Name:NASHVILLE PSYCHOLOGICAL ASSESSMENT AND LEARNING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:615-419-4614
Mailing Address - Street 1:327 50TH AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-3457
Mailing Address - Country:US
Mailing Address - Phone:615-988-0194
Mailing Address - Fax:
Practice Address - Street 1:805 BRADFORD AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-2105
Practice Address - Country:US
Practice Address - Phone:615-988-0194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-30
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3274103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty