Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 2930 | TN |
Y | 103TC0700X | Clinical Psychologist | 2930 | TN |
N | 103TC1900X | Counseling Psychologist |
NPI | 1013245588 |
---|---|
Provider Name | Dr. Mistie Dawn Germek |
First Address | Murfreesboro, TN 37128-7686 |
Second Address | Murfreesboro, TN 37128-7686 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2009 |
Last Update Date | 20/04/2020 |