Organization · Type 2 NPI
Premier Psychiatry
Addiction Medicine (Psychiatry & Neurology) Physician · Lebanon, TN
NPI number
1629939244
Active
Practice location
324 N Maple St
Lebanon, TN 37087-2706
Fax (615) 807-3303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | None listed |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
About NPI 1629939244
Premier Psychiatry's National Provider Identifier is 1629939244, issued on Nov 21, 2025. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Lebanon, TN. The record was last updated on Nov 21, 2025.