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NPI Code Detail

MEDICARE: LASHONDA R GREENWOOD PSY.D.

MEDICARE: LASHONDA R GREENWOOD PSY.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
1101YM0800XMental Health Counselor
2103T00000XPsychologist2711TN

General Provider Information

NPI Number : 1902029093
Entity Type Code : Individual
Provider Name (Legal Business Name) : LASHONDA R GREENWOOD PSY.D.
Provider Business Mailing Address
First Line : 2907 HENDERSON LN
Second Line :
City : MURFREESBORO
State : TN
Zip : 37130-3380
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 431 NISSAN DR STE 200
Second Line :
City : SMYRNA
State : TN
Zip : 37167-4365
Country : US
Telephone Number : 615-462-6688
Fax Number : 615-462-7151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 06/27/2020

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