Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 3713 | TN |
Y | 103TC0700X | Clinical Psychologist | 3713 | TN |
NPI | 1003422874 |
---|---|
Provider Name | Dr. Daniel Diperna |
First Address | Nashville, TN 37215-3339 |
Second Address | Nashville, TN 37215-3339 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2020 |
Last Update Date | 17/09/2020 |