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Contact Information

LAWRENCE S GAINES, PHD
3601 THE VANDERBILT CLINIC
NASHVILLE, TN37232-0001
 Phone: 615-322-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LAWRENCE S GAINES · (Male)

NPI # 1508060872
Status Active
Credentials PHD
Entity Individual
Enumeration date 06/12/2007
Last updated 12/12/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • TN License # 00683
  • TN License # P000683
  • TN Medicaid Q001962
  • TN Other 620476822 TAX ID
Hospital affiliation(s)
  • VANDERBILT UNIVERSITY HOSPITAL - (Acute Care)
    1161 21ST AVENUE SOUTH
    NASHVILLE, TN 37232
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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