Provider Demographics
NPI:1487323713
Name:NUGENT, WALTER WAYNE (MFT)
Entity type:Individual
Prefix:MR
First Name:WALTER
Middle Name:WAYNE
Last Name:NUGENT
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:MR
Other - First Name:WALT
Other - Middle Name:
Other - Last Name:NUGENT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MFT
Mailing Address - Street 1:2000 GLEN ECHO RD STE 101
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2857
Mailing Address - Country:US
Mailing Address - Phone:615-457-8585
Mailing Address - Fax:615-457-8595
Practice Address - Street 1:2000 GLEN ECHO RD STE 101
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2857
Practice Address - Country:US
Practice Address - Phone:615-457-8585
Practice Address - Fax:615-457-8595
Is Sole Proprietor?:No
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist