| NPI | 1184634362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE BISHOP Clinical Psychologist 901-388-1893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN TN452) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-08-15 |