Provider Demographics
NPI:1194019034
Name:STRIDE, STEVE (PHD)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:
Last Name:STRIDE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 CONTINENTAL PL STE 105
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-1052
Mailing Address - Country:US
Mailing Address - Phone:615-947-6039
Mailing Address - Fax:
Practice Address - Street 1:105 CONTINENTAL PL STE 105
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-1052
Practice Address - Country:US
Practice Address - Phone:615-947-6039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-08
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2999103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical