Provider Demographics
NPI:1902327976
Name:JACQUELINE KLAVER PHD, PLLC
Entity Type:Organization
Organization Name:JACQUELINE KLAVER PHD, PLLC
Other - Org Name:NASHVILLE NEUROPSYCHOLOGY & FAMILY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PEDIATRIC NEUROPSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KLAVER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:615-933-3571
Mailing Address - Street 1:2200 21ST AVE S STE 300
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-4929
Mailing Address - Country:US
Mailing Address - Phone:615-933-3571
Mailing Address - Fax:
Practice Address - Street 1:2200 21ST AVE S STE 300
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-4929
Practice Address - Country:US
Practice Address - Phone:615-933-3571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3364103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty