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NPI Code Detail

MEDICARE: MISTIE DAWN GERMEK PH.D.

MEDICARE: MISTIE DAWN GERMEK PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC1900XCounseling Psychologist
2103TC0700XClinical Psychologist2930TN

General Provider Information

NPI Number : 1013245588
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISTIE DAWN GERMEK PH.D.
Provider Business Mailing Address
First Line : 2548 RIDEOUT LN
Second Line :
City : MURFREESBORO
State : TN
Zip : 37128-7686
Country : US
Telephone Number : 303-880-7686
Fax Number :
Provider Business Practice Location Address
First Line : 2548 RIDEOUT LN
Second Line :
City : MURFREESBORO
State : TN
Zip : 37128-7686
Country : US
Telephone Number : 303-880-7686
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2009
Last Update Date : 04/21/2026

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