Provider Demographics
NPI:1891061891
Name:DYSLEXIA CENTERS OF TENNESSEE, INC
Entity Type:Organization
Organization Name:DYSLEXIA CENTERS OF TENNESSEE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:H
Authorized Official - Last Name:MATLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-221-3941
Mailing Address - Street 1:7110 TOWN CENTER WAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-1608
Mailing Address - Country:US
Mailing Address - Phone:615-221-3941
Mailing Address - Fax:615-221-9786
Practice Address - Street 1:7110 TOWN CENTER WAY
Practice Address - Street 2:SUITE 201
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-1608
Practice Address - Country:US
Practice Address - Phone:615-221-3941
Practice Address - Fax:615-221-9786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-24
Last Update Date:2012-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty