Provider Demographics
NPI:1093966483
Name:ALESCH, HEATHER M (PSYD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:M
Last Name:ALESCH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:HEATHER
Other - Middle Name:M
Other - Last Name:CUATOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:1801 W END AVE STE 520
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2518
Mailing Address - Country:US
Mailing Address - Phone:615-268-3344
Mailing Address - Fax:
Practice Address - Street 1:1801 W END AVE STE 520
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2518
Practice Address - Country:US
Practice Address - Phone:615-268-3344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-03
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY26791103TC0700X, 103T00000X
TN3600103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist