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Contact Information

TIA IDEHEN
5651 MYRTLEWOOD DR
NASHVILLE, TN37211-6229
 Phone: 615-506-3296
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TIA IDEHEN · (Female)

NPI # 1922498021
Status Active
Credentials
Entity Individual
Enumeration date 01/27/2015
Last updated 02/09/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
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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