Provider Demographics
NPI:1326267832
Name:BENDER, ALLISON SUE (ALLISON BENDER,PHD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:SUE
Last Name:BENDER
Suffix:
Gender:F
Credentials:ALLISON BENDER,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 CHAMBERLAIN PARK LN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069-6527
Mailing Address - Country:US
Mailing Address - Phone:615-507-3189
Mailing Address - Fax:
Practice Address - Street 1:6544 MURRAY LN
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5515
Practice Address - Country:US
Practice Address - Phone:615-507-3189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP2581103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist