Provider Demographics
NPI:1154797868
Name:MCGAVIN, ALLISON (MED)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:MCGAVIN
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 BROOK HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-3506
Mailing Address - Country:US
Mailing Address - Phone:615-260-2295
Mailing Address - Fax:
Practice Address - Street 1:410 BROOK HOLLOW RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-3506
Practice Address - Country:US
Practice Address - Phone:615-260-2295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-17
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health