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DR. MITZI L. WOOD-VON MIZENER PSYD NPI 1932122058


NPI Information

NPI: 1932122058
Provider Name: DR. MITZI L. WOOD-VON MIZENER, PSYD
Classification: Psychologist - 103T00000X
Entity Type: Individual
Address:
395 INTERSTATE DR
MANCHESTER, TN
ZIP 37355
Phone: (615) 673-6737
Get Directions

DR. Mitzi L. Wood-von Mizener, PSYD is a psychologist in Manchester, TN. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. DR. Mitzi L. Wood-von Mizener, PSYD NPI is 1932122058. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

395 INTERSTATE DR
MANCHESTER, TN
ZIP 37355-108
Phone: (615) 673-6737
Fax: (615) 296-4567

The enumeration date for this NPI number is 7/26/2006 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologist2192TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13689127MEDICAIDTENNESSEE
23689125MEDICAIDTENNESSEE
3S75841MEDICARE UPINTENNESSEE
43689127MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEWSI - RESASSIGNED
53689125MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEINDIVIDUAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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