| NPI | 1811054372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA MOSIEJ BROWN Office Administrator 901-405-0275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2008-05-19 |