Healthcare Provider Details

I. General information

NPI: 1891061891
Provider Name (Legal Business Name): DYSLEXIA CENTERS OF TENNESSEE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2012
Last Update Date: 03/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7110 TOWN CENTER WAY SUITE 201
BRENTWOOD TN
37027-1608
US

IV. Provider business mailing address

7110 TOWN CENTER WAY SUITE 201
BRENTWOOD TN
37027-1608
US

V. Phone/Fax

Practice location:
  • Phone: 615-221-3941
  • Fax: 615-221-9786
Mailing address:
  • Phone: 615-221-3941
  • Fax: 615-221-9786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: JOHN H MATLOCK
Title or Position: PRESIDENT
Credential:
Phone: 615-221-3941