Provider Demographics
NPI:1730258872
Name:HAMPSHIRE, PETER A J (PHD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:A J
Last Name:HAMPSHIRE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 GREERLAND DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-4049
Mailing Address - Country:US
Mailing Address - Phone:615-383-6948
Mailing Address - Fax:
Practice Address - Street 1:2200 21ST AVE S
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-4942
Practice Address - Country:US
Practice Address - Phone:615-298-4891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP765103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN000014034OtherBLUE CROSS BLUE SHIELD
TN171958000OtherMAGELLAN
TN000014034OtherBLUE CROSS BLUE SHIELD