Provider Demographics
NPI:1467461970
Name:OATIS-BALLEW, ROBIN L (PHD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:L
Last Name:OATIS-BALLEW
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 1:2125 BELCOURT AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-3503
Mailing Address - Country:US
Mailing Address - Phone:615-887-8219
Mailing Address - Fax:
Practice Address - Street 1:2125 BELCOURT AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-3503
Practice Address - Country:US
Practice Address - Phone:615-887-8219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP0000002729103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical