| NPI | 1184625006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONIA L LONG Clinical Psychologist 901-458-6291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2012-08-21 |