Provider Demographics
NPI:1760867048
Name:ZACHARY LEE TUREAU, PH.D., LLC
Entity Type:Organization
Organization Name:ZACHARY LEE TUREAU, PH.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:TUREAU
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:615-598-6560
Mailing Address - Street 1:115 28TH AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1411
Mailing Address - Country:US
Mailing Address - Phone:615-598-6560
Mailing Address - Fax:615-320-8751
Practice Address - Street 1:115 28TH AVE N
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1411
Practice Address - Country:US
Practice Address - Phone:615-598-6560
Practice Address - Fax:615-320-8751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2608103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty