| NPI | 1154758746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LESLIE FULLITON President/Clinical Psychologist 901-527-2248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN P1531) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-10-29 |