Female

Tamra A. Fagan PH.D.

Clinical Psychologist in Franklin, TN(View on Map)

Full Name

Tamra Ann Fagan PH.D.

NPI Number

1508967845

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/26/2006

Specialties

(Taxonomies)

Code

103TC0700X

Primary Taxonomy

Yes

Licenses

State

Tennessee

License Number

P0000001827

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 10414
211 COOL SPRINGS BLVD

City

Largo
Franklin

State

FL
TN

Postal Code

33773-0414
37067-7242

Country

US
US

Telephone Number

(800) 632-6074
(800) 632-6074

Identifiers

Identifier

4057799
3982871

Identifier State

TN
TN

Identifier Issuer

BCBS
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/09/2007

Provider Address

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