Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | 2228 | TN |
N | 103G00000X | Clinical Psychologist | 2228 | TN |
N | 103TC0700X | Clinical Psychologist | 2228 | TN |
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 2228 | TN |
NPI | 1093195372 |
---|---|
Provider Name | Dr. Susan S. Han |
First Address | Franklin, TN 37067-6442 |
Second Address | Franklin, TN 37067-6440 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2015 |
Last Update Date | 12/10/2018 |