Provider Demographics
NPI:1417555004
Name:RUSTUM, AMER YUSEF (PSY D)
Entity Type:Individual
Prefix:MR
First Name:AMER
Middle Name:YUSEF
Last Name:RUSTUM
Suffix:
Gender:M
Credentials:PSY D
Other - Prefix:
Other - First Name:AMER
Other - Middle Name:
Other - Last Name:RUSTUM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSY D
Mailing Address - Street 1:1604 WESTGATE CIRCLE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027
Mailing Address - Country:US
Mailing Address - Phone:615-866-9386
Mailing Address - Fax:615-866-9676
Practice Address - Street 1:1604 WESTGATE CIRCLE
Practice Address - Street 2:SUITE 220
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027
Practice Address - Country:US
Practice Address - Phone:615-866-9386
Practice Address - Fax:615-866-9676
Is Sole Proprietor?:No
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist