Provider Demographics
NPI:1548974611
Name:LABUSCHAGNE, ZANDRE (PHD, HSP)
Entity type:Individual
Prefix:
First Name:ZANDRE
Middle Name:
Last Name:LABUSCHAGNE
Suffix:
Gender:F
Credentials:PHD, HSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34B N HILL ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37210-3416
Mailing Address - Country:US
Mailing Address - Phone:312-623-0135
Mailing Address - Fax:
Practice Address - Street 1:85 WHITE BRIDGE PIKE STE 302
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-1565
Practice Address - Country:US
Practice Address - Phone:615-238-9100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3659103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling