| Memphis Center For Women And Families | |
|
5154 Stage Rd Ste 102 Memphis TN 38134-3118 | |
| (901) 372-9133 | |
| (901) 372-1015 |
| Full Name | Memphis Center For Women And Families |
|---|---|
| Speciality | Psychologist |
| Location | 5154 Stage Rd, Memphis, Tennessee |
| Authorized Official Name and Position | Connie S Paul (OWNER) |
| Authorized Official Contact | 9013729133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memphis Center For Women And Families 5154 Stage Rd Ste 102 Memphis TN 38134-3118 Ph: (901) 372-9133 | Memphis Center For Women And Families 5154 Stage Rd Ste 102 Memphis TN 38134-3118 Ph: (901) 372-9133 |
| NPI Number | 1578894887 |
|---|---|
| Provider Enumeration Date | 01/26/2010 |
| Last Update Date | 01/26/2010 |
| Medicare PECOS PAC ID | 7810162724 |
|---|---|
| Medicare Enrollment ID | O20111205000347 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578894887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Anna F Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780791897 PECOS PAC ID: 4880688522 Enrollment ID: I20040414000457 |
| Provider Name | Janet E Panter |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1730205410 PECOS PAC ID: 9436380664 Enrollment ID: I20140401000418 |
| Provider Name | Deborah A Carter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740578111 PECOS PAC ID: 7315170388 Enrollment ID: I20140428000378 |
| Provider Name | Heather Tahler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255885810 PECOS PAC ID: 3678868080 Enrollment ID: I20160824002327 |
| Provider Name | Kimberly Y Williams Collins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588184857 PECOS PAC ID: 6608124912 Enrollment ID: I20180802002465 |
| Provider Name | Christopher H. Bassin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700971413 PECOS PAC ID: 8325040934 Enrollment ID: I20190625002093 |
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