Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 3656 | TN |
N | 103T00000X | Psychologist | 3656 | TN |
N | 103G00000X | Clinical Psychologist | 3656 | TN |
N | 103TC0700X | Clinical Psychologist | 3656 | TN |
Y | 103TH0004X | Health Psychologist | 3656 | TN |
N | 103TH0100X | Health Service | 3656 | TN |
NPI | 1528692530 |
---|---|
Provider Name | Dr. Carrie Elizabeth Brintz |
First Address | Nashville, TN 37219-2389 |
Second Address | Nashville, TN 37204-4692 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2020 |
Last Update Date | 15/10/2020 |