MID SOUTH PSYCHIATRIC ASSOCIATES NPI 1013109511

NPI Information

MID SOUTH PSYCHIATRIC ASSOCIATES is a prescribing (medical) psychologist in Murfreesboro, TN. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. MID SOUTH PSYCHIATRIC ASSOCIATES NPI is 1013109511. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1830 HERITAGE PARK PLZ
MURFREESBORO, TN
ZIP 37129-575
Phone: (615) 895-8104
Fax: (615) 895-7903

The provider's authorized official is Ahmed I Farooque .
The authorized official title is Partner and has the following contact phone number (615) 895-8104.

The enumeration date for this NPI number is 8/17/2007 and was last updated on 8/17/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.