Blanz, Larry Theodore

Blanz, Larry Theodore is an sole proprietor health care provider with primary practice located at 1900 Church St 300 , Nashville TN 37203-2285. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Blanz, Larry Theodore can be contacted via phone (615) 337-2026.

Contact Information

Primary practice address
1900 Church St 300 Nashville TN 37203-2285
Phone: (615) 337-2026
Fax: (815) 301-9511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X P 1037 Tennessee

Profile Details

NPI number 1073591194
LBN Legal business name Blanz, Larry Theodore
Credentials ED.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2006
Last updated Aug 8th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073591194 NPPES
Tennessee MEDICAID 3684193

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