Provider Demographics
NPI:1831713916
Name:SHERROD, KATHRYN BROWN (PHD)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:BROWN
Last Name:SHERROD
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 1:2000 GLEN ECHO RD STE 207
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-3149
Mailing Address - Country:US
Mailing Address - Phone:615-298-2329
Mailing Address - Fax:615-298-2329
Practice Address - Street 1:2000 GLEN ECHO RD STE 207
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-3149
Practice Address - Country:US
Practice Address - Phone:615-298-2329
Practice Address - Fax:615-298-2329
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP971103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist