Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 3204 | TN |
Y | 103TC0700X | Clinical Psychologist | 3204 | TN |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 3204 | TN |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY-3496 | CO |
NPI | 1043479686 |
---|---|
Provider Name | Dr. Giovanni Michelangelo Billings |
First Address | Nashville, TN 37204-3609 |
Second Address | Denver, CO 80204-4597 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2008 |
Last Update Date | 17/08/2021 |