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NPI Code Detail

MEDICARE: NATALI EFSTATHIOU LP LLC

MEDICARE: NATALI EFSTATHIOU LP LLC
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

General Provider Information

NPI Number : 1063058261
Entity Type Code : Organization
Provider Name (Legal Business Name) : NATALI EFSTATHIOU LP LLC
Provider Business Mailing Address
First Line : 73 WHITE BRIDGE RD STE 103 PMB 183
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-1444
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3200 W END AVE STE 500
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1322
Country : US
Telephone Number : 615-200-8269
Fax Number :
Authorized Official
Title or Position : DOCTOR
Name : DR. NATALI EFSTATHIOU
Credential : PH.D
Telephone Number : 615-200-8269
Provider Enumeration Date : 11/22/2019
Last Update Date : 11/22/2019

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