Dr. Raymond R. Tesauro ED.D.
Clinical Psychologist in Shelbyville, TN(View on Map)
Full Name
Dr. Raymond R Tesauro ED.D.
NPI Number
1457386450
NPI Type
Individual Provider
Gender
Male
Enumeration Date
07/11/2006
Specialties
(Taxonomies)Licenses
State
Tennessee
License Number
P0000001934
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 743
107 HOLLAND ST
City
Lebanon
Shelbyville
State
TN
TN
Postal Code
37088-0743
37160-3927
Country
US
US
Telephone Number
(931) 680-4370
(931) 680-4370
Identifiers
Identifier
3687153
3687158
Identifier State
TN
TN
Identifier Issuer
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007