Provider Demographics
NPI:1396009312
Name:DUKES, AIMEE ELIZABETH (PHD)
Entity Type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:ELIZABETH
Last Name:DUKES
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 1:327 50TH AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-3457
Mailing Address - Country:US
Mailing Address - Phone:615-243-0700
Mailing Address - Fax:
Practice Address - Street 1:327 50TH AVE N
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-3457
Practice Address - Country:US
Practice Address - Phone:615-243-0700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3038103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool