| Abs Kids Pc | |
|
110 29th Ave N Nashville TN 37203-1401 | |
| (626) 658-8947 | |
| (626) 658-8947 |
| Full Name | Abs Kids Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 110 29th Ave N, Nashville, Tennessee |
| Authorized Official Name and Position | Robert Key (VP,PAYOR CONTRACTING & DEVELOPMENT) |
| Authorized Official Contact | 8052792893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abs Kids Pc 16255 Ventura Blvd Ste 900 Encino CA 91436-2317 Ph: (801) 770-1590 | Abs Kids Pc 110 29th Ave N Nashville TN 37203-1401 Ph: (626) 658-8947 |
| NPI Number | 1952976490 |
|---|---|
| Provider Enumeration Date | 05/26/2021 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952976490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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