Healthcare Provider Details

I. General information

NPI: 1760867048
Provider Name (Legal Business Name): ZACHARY LEE TUREAU, PH.D., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2015
Last Update Date: 07/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 28TH AVE N
NASHVILLE TN
37203-1411
US

IV. Provider business mailing address

115 28TH AVE N
NASHVILLE TN
37203-1411
US

V. Phone/Fax

Practice location:
  • Phone: 615-598-6560
  • Fax: 615-320-8751
Mailing address:
  • Phone: 615-598-6560
  • Fax: 615-320-8751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2608
License Number StateTN

VIII. Authorized Official

Name: ZACHARY LEE TUREAU
Title or Position: OWNER
Credential: PH.D.
Phone: 615-598-6560