Jayne Hallock, COTA/L

NPI 1972067064 · on the registry since 2019

Practice

Address: 298 Warfield Blvd Apt C
Clarksville, TN 37043
Phone: (931) 906-0440
Fax: (931) 920-5070
Organisation at this address: Full Spectrum Pediatric Therapy
Clarksville Behavioral Health, Llc
Full Spectrum Pediatric Therapy, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: TN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-01-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee