Provider Demographics
NPI:1538476015
Name:SAXBY, DYANI JUANITA (PHD)
Entity type:Individual
Prefix:DR
First Name:DYANI
Middle Name:JUANITA
Last Name:SAXBY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 3RD AVE N
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-2539
Mailing Address - Country:US
Mailing Address - Phone:931-219-9778
Mailing Address - Fax:931-346-0024
Practice Address - Street 1:236 3RD AVE N DEPT OF
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-2539
Practice Address - Country:US
Practice Address - Phone:931-219-9778
Practice Address - Fax:931-346-0024
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2024-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3981103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1538476015Medicaid