Provider Demographics
NPI:1326186453
Name:POPKIN, JOAN ELIZABETH (PHD)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:ELIZABETH
Last Name:POPKIN
Suffix:
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 1:230 CARDEN AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2422
Mailing Address - Country:US
Mailing Address - Phone:615-496-3483
Mailing Address - Fax:615-385-1676
Practice Address - Street 1:5364 VILLAGE WAY
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-6234
Practice Address - Country:US
Practice Address - Phone:615-573-8069
Practice Address - Fax:615-333-0676
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2008-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP002569103T00000X
TX32279103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist