Provider Demographics
NPI:1548086895
Name:ZULFER, KEISHA ELIZABETH (MMFT)
Entity type:Individual
Prefix:
First Name:KEISHA
Middle Name:ELIZABETH
Last Name:ZULFER
Suffix:
Gender:F
Credentials:MMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 BLUE GRASS DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-3276
Mailing Address - Country:US
Mailing Address - Phone:731-610-7365
Mailing Address - Fax:
Practice Address - Street 1:321 BILLINGSLY CT STE 20
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6445
Practice Address - Country:US
Practice Address - Phone:615-499-3111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2607103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist