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Organization (NPI-2) Active

Psychologist, Clinical

Provider Information

NPI Number
1851569412
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
367B N PARKWAY STE 1, JACKSON, TN, 383052899
Phone
(731) 668-2277
Fax
(731) 660-0510

Specialties & Taxonomies

Psychologist, Clinical Primary License: TN #P1223

All Addresses

MAILING

367B N PARKWAY STE 1

JACKSON, TN, 383052899

(731) 668-2277

LOCATION

367B N PARKWAY STE 1

JACKSON, TN, 383052899

(731) 668-2277