| Child & Adolescent Psychiatry Associates | |
|
1135 Cully Rd #100 Cordova TN 38016 | |
| (901) 752-1980 | |
| (901) 309-8784 |
| Full Name | Child & Adolescent Psychiatry Associates |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1135 Cully Rd, Cordova, Tennessee |
| Authorized Official Name and Position | Jerry D Heston (SENIOR PARTNER) |
| Authorized Official Contact | 9017521980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child & Adolescent Psychiatry Associates Po Box 1000 Dept 233 Memphis TN 38148-0233 Ph: (901) 752-1980 | Child & Adolescent Psychiatry Associates 1135 Cully Rd #100 Cordova TN 38016 Ph: (901) 752-1980 |
| NPI Number | 1588769442 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588769442 | NPI | - | NPPES |
| 3730256 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (Tennessee) | Primary |
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