Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | P0000002936 | TN |
Y | 103G00000X | Clinical Psychologist | P0000002936 | TN |
Y | 103TC0700X | Clinical Psychologist | P0000002936 | TN |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | P0000002936 | TN |
N | 103TF0000X | Family Psychologist | P0000002936 | TN |
N | 103TH0004X | Health Psychologist | P0000002936 | TN |
NPI | 1326263435 |
---|---|
Provider Name | Rebecca Selove |
First Address | Nashville, TN 37212-4942 |
Second Address | Nashville, TN 37212-4942 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2007 |
Last Update Date | 07/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
R00794 | (02) |