Provider Demographics
NPI:1578135125
Name:LOVELESS, ANSLEY TAYLOR CORSON (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANSLEY TAYLOR
Middle Name:CORSON
Last Name:LOVELESS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3326 ASPEN GROVE DR STE 240
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-4819
Mailing Address - Country:US
Mailing Address - Phone:615-270-5325
Mailing Address - Fax:
Practice Address - Street 1:3326 ASPEN GROVE DR STE 240
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-4819
Practice Address - Country:US
Practice Address - Phone:615-270-5325
Practice Address - Fax:615-472-1931
Is Sole Proprietor?:No
Enumeration Date:2021-07-13
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN3774103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist