Provider Demographics
NPI:1508020512
Name:MCQUAIN, KARLA DRIESLER (PHD)
Entity Type:Individual
Prefix:DR
First Name:KARLA
Middle Name:DRIESLER
Last Name:MCQUAIN
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 1:4017 CRESTRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-4031
Mailing Address - Country:US
Mailing Address - Phone:615-269-3363
Mailing Address - Fax:
Practice Address - Street 1:4017 CRESTRIDGE DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-4031
Practice Address - Country:US
Practice Address - Phone:615-269-3363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2045103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist