| Geriatric Psychology Affiliates Llc | |
|
118 Maupin Cir Shelbyville TN 37160-3781 | |
| (931) 580-8936 | |
| Not Available |
| Full Name | Geriatric Psychology Affiliates Llc |
|---|---|
| Speciality | Psychologist |
| Location | 118 Maupin Cir, Shelbyville, Tennessee |
| Authorized Official Name and Position | Robert North (OWNER) |
| Authorized Official Contact | 9315808936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Psychology Affiliates Llc 118 Maupin Cir Shelbyville TN 37160-3781 Ph: (931) 580-8936 | Geriatric Psychology Affiliates Llc 118 Maupin Cir Shelbyville TN 37160-3781 Ph: (931) 580-8936 |
| NPI Number | 1659847978 |
|---|---|
| Provider Enumeration Date | 10/15/2018 |
| Last Update Date | 10/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659847978 | NPI | - | NPPES |
| 1548291370 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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