| NPI | 1578894887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE S PAUL Owner 901-372-9133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-01-26 |