Squire, Denise L
Squire, Denise L is an sole proprietor health care provider with primary practice located at 556 Fire Station Rd , Clarksville TN 37043-4072. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Squire, Denise L can be contacted via phone (931) 553-8500.Contact Information
Primary practice address
556 Fire Station Rd
Clarksville TN 37043-4072
Phone: (931) 553-8500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1062 | Alabama |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | P2410 | Tennessee |
Profile Details
| NPI number | 1992706022 |
|---|---|
| LBN Legal business name | Squire, Denise L |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Jan 9th, 2024 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992706022 | NPPES |
| Tennessee | Other | 4099228 | BLUE CROSS BLUE SHIELD |
| Tennessee | Other | 737644000 | BLUE CROSS BLUE SHIELD |
| Tennessee | MEDICAID | 1515155 | BLUE CROSS BLUE SHIELD |
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