| Phoenix Neuropsychology And Counseling Center | |
|
382 Carriage House Dr Ste D Jackson TN 38305-2299 | |
| (602) 391-0044 | |
| Not Available |
| Full Name | Phoenix Neuropsychology And Counseling Center |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 382 Carriage House Dr Ste D, Jackson, Tennessee |
| Authorized Official Name and Position | Chantel Okewole (CEO) |
| Authorized Official Contact | 6023910044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Neuropsychology And Counseling Center 382 Carriage House Dr Ste D Jackson TN 38305-2299 Ph: (602) 391-0044 | Phoenix Neuropsychology And Counseling Center 382 Carriage House Dr Ste D Jackson TN 38305-2299 Ph: (602) 391-0044 |
| NPI Number | 1891524930 |
|---|---|
| Provider Enumeration Date | 07/29/2024 |
| Last Update Date | 08/22/2024 |
| Certification Date | 08/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891524930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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