| NPI | 1043639818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE SHERROD FOSTER Psychologist / Owner 901-624-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN P1439) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |