Provider Demographics
NPI:1215589601
Name:POSAVAC, HEIDI D X (PHD)
Entity Type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:D
Last Name:POSAVAC
Suffix:X
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7113 PEACH CT STE 111
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5299
Mailing Address - Country:US
Mailing Address - Phone:615-377-6370
Mailing Address - Fax:
Practice Address - Street 1:7113 PEACH CT STE 111
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5299
Practice Address - Country:US
Practice Address - Phone:615-377-6370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-15
Last Update Date:2021-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013726-1103T00000X
TN3337103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist