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NPI Code Detail

MEDICARE: FRANK OMAR BYNDLOSS JR. PSYD

MEDICARE: FRANK OMAR BYNDLOSS JR. PSYD
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
1101Y00000XCounselor
2101YM0800XMental Health Counselor
3103T00000XPsychologist
4103TC0700XClinical Psychologist3570TN
5103T00000XPsychologistP3570TN

General Provider Information

NPI Number : 1457632416
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANK OMAR BYNDLOSS JR. PSYD
Provider Business Mailing Address
First Line : 210 25TH AVE N STE 1220
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1640
Country : US
Telephone Number : 615-933-1095
Fax Number :
Provider Business Practice Location Address
First Line : 210 25TH AVE N STE 1220
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1640
Country : US
Telephone Number : 615-933-1095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2011
Last Update Date : 06/17/2025

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