Provider Demographics
NPI:1053419382
Name:ADLER, ANDREW J (EDD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:J
Last Name:ADLER
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1808 W END AVE
Mailing Address - Street 2:SUITE 827
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2507
Mailing Address - Country:US
Mailing Address - Phone:615-321-4566
Mailing Address - Fax:615-383-9906
Practice Address - Street 1:1808 W END AVE
Practice Address - Street 2:SUITE 827
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2507
Practice Address - Country:US
Practice Address - Phone:615-321-4566
Practice Address - Fax:615-383-9906
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1086103TC0700X, 103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3680922Medicare ID - Type Unspecified