| Ken Lass, Phd | |
|
331 22nd Ave N Nashville TN 37203-1810 | |
| (615) 320-1481 | |
| (615) 460-4202 |
| Full Name | Ken Lass, Phd |
|---|---|
| Speciality | Psychologist |
| Location | 331 22nd Ave N, Nashville, Tennessee |
| Authorized Official Name and Position | Kenneth Paul Lass (PSYCHOLOGIST) |
| Authorized Official Contact | 6154604232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ken Lass, Phd 331 22nd Ave N Nashville TN 37203-1810 Ph: (615) 320-1481 | Ken Lass, Phd 331 22nd Ave N Nashville TN 37203-1810 Ph: (615) 320-1481 |
| NPI Number | 1073641205 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 07/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073641205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | P0000001356 (Tennessee) | Primary |
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