Provider Demographics
NPI:1245096973
Name:APPLEBY, SUMMER ANNETTE (MA, ATR)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:ANNETTE
Last Name:APPLEBY
Suffix:
Gender:F
Credentials:MA, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1017 CHERYL LN
Mailing Address - Street 2:
Mailing Address - City:LA VERGNE
Mailing Address - State:TN
Mailing Address - Zip Code:37086-4502
Mailing Address - Country:US
Mailing Address - Phone:731-636-9316
Mailing Address - Fax:
Practice Address - Street 1:1370 GATEWAY BLVD STE 210
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2591
Practice Address - Country:US
Practice Address - Phone:800-244-6224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN24-062221700000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist