Marie E. La Vasque, MS, MA

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

SPE11407 Issued in TN

Practice address

236A Old Shackle Is. Rd
Hendersonville, TN 37075

Phone

(615) 822-5425

Fax

(615) 822-5553

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Barry Yeiser Counseling Services Inc.

  • Clinical Social Worker
  • Hendersonville, TN
  • NPI 1013230663
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487749024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236A OLD SHACKLE IS. RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "37075",
            "telephone_number": "615-822-5425",
            "fax_number": "615-822-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236A OLD SHACKLE IS. RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "37075",
            "telephone_number": "615-822-5425",
            "fax_number": "615-822-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA VASQUE",
        "first_name": "MARIE",
        "middle_name": "E.",
        "credential": "MS, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TN",
            "license": "SPE11407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caili Krohn
• Peter B Kroll, M.D.
• Brynn Krutmeier
• Paul Edward Kudelko II, DO
• Sabrina Ann La Croix
• Casey Lacefield, MS, CCC-SLP
• Beth Lackey, DC
• Billy Winnard Lafever Jr., D.D.S
• Matyas Christopher Lafleur
• Grace Caroline Lagrange, OD

• All providers in Hendersonville, TN
• Clinical Neuropsychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.