Provider Demographics
NPI:1104284199
Name:NAHMIAS, PAUL RONALD (SR PSYCH EXAMINER)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:RONALD
Last Name:NAHMIAS
Suffix:
Gender:M
Credentials:SR PSYCH EXAMINER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8236 PINE VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38139-4207
Mailing Address - Country:US
Mailing Address - Phone:901-848-0693
Mailing Address - Fax:
Practice Address - Street 1:8236 PINE VALLEY LN
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38139-4207
Practice Address - Country:US
Practice Address - Phone:901-848-0693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-04
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPE1674103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist