FETUS O IMASUEN

PANACEA PSYCHIATRIC CENTER PLC

Dr FETUS O IMASUEN is a male medical professional, specializing in Psychologist, Clinical. He graduated in 2004.

Contact

PANACEA PSYCHIATRIC CENTER PLC

5651 FRIST BLVD
SUITE 701
HERMITAGE
TN
370762061

Tel: 6158845669

FETUS O IMASUEN Information

Npi 1508136540
Pac Id 8325394729
Professional Enrollment Id I20180627000841
Last Name IMASUEN
First Name FETUS
Middle Name O
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2004
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PANACEA PSYCHIATRIC CENTER PLC
Group Practice Pac Id 2668550377
Number Of Group Practice Members 2
Line 1 Street Address 5651 FRIST BLVD
Line 2 Street Address SUITE 701
Marker Of Address Line 2 Suppression
City HERMITAGE
State TN
Zip Code 370762061
Phone Number 6158845669
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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