| Pediatric Adolescent Center | |
|
882 Willow Tree Cir Ste 201 Cordova TN 38018-3118 | |
| (901) 757-3520 | |
| (901) 737-3807 |
| Full Name | Pediatric Adolescent Center |
|---|---|
| Speciality | Psychologist |
| Location | 882 Willow Tree Cir Ste 201, Cordova, Tennessee |
| Authorized Official Name and Position | Melissa Renea Hall (FRONT DESK MANAGER) |
| Authorized Official Contact | 9017573520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Adolescent Center 882 Willow Tree Cir Ste 201 Cordova TN 38018-3118 Ph: (901) 757-3520 | Pediatric Adolescent Center 882 Willow Tree Cir Ste 201 Cordova TN 38018-3118 Ph: (901) 757-3520 |
| NPI Number | 1497956825 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497956825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2676 (Tennessee) | Primary |
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