Provider Demographics
NPI:1386856565
Name:ZAGER, LYNNE D (PHD)
Entity Type:Individual
Prefix:
First Name:LYNNE
Middle Name:D
Last Name:ZAGER
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 1:156 WEST UNIVERSITY PKWY
Mailing Address - Street 2:PSYCHOLOGICAL SERVICES
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-1616
Mailing Address - Country:US
Mailing Address - Phone:731-394-0749
Mailing Address - Fax:731-512-3874
Practice Address - Street 1:156 W UNIVERSITY PKWY STE C
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-1617
Practice Address - Country:US
Practice Address - Phone:731-394-0749
Practice Address - Fax:731-512-3874
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP000000859103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical