Provider Demographics
NPI:1407517568
Name:DRENNON, DAVID NEALE
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:NEALE
Last Name:DRENNON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1513 PARIS AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-5930
Mailing Address - Country:US
Mailing Address - Phone:615-495-6363
Mailing Address - Fax:
Practice Address - Street 1:1916 PATTERSON ST STE 700
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2177
Practice Address - Country:US
Practice Address - Phone:615-593-3999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-31
Last Update Date:2021-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist