Andrea N Jurbergs, PHD | |
262 Danny Thomas Pl, Memphis, TN 38105-3678 | |
(901) 595-3006 | |
(901) 595-3842 |
Full Name | Andrea N Jurbergs |
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Gender | Female |
Speciality | Psychologist |
Location | 262 Danny Thomas Pl, Memphis, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497959480 | NPI | - | NPPES |
1509952 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 2679 (Tennessee) | Primary |
Entity Name | St Jude Childrens Research Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306335088 PECOS PAC ID: 7315133444 Enrollment ID: O20180821000139 |
Mailing Address | Practice Location Address |
---|---|
Andrea N Jurbergs, PHD 262 Danny Thomas Pl, Ms 515, Memphis, TN 38105-3678 Ph: (901) 595-3006 | Andrea N Jurbergs, PHD 262 Danny Thomas Pl, Memphis, TN 38105-3678 Ph: (901) 595-3006 |
Boaz Roderick Futch, PHD.PSY Psychologist Medicare: Not Enrolled in Medicare Practice Location: 952 Decatur St, Memphis, TN 38107 Phone: 901-644-5713 | |
Ms. Heather Marie Conklin, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 262 Danny Thomas Pl, Memphis, TN 38105 Phone: 901-595-3006 Fax: 901-595-3842 | |
Teressa Davis Davis, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 815 N Mclean Blvd, Memphis, TN 38107 Phone: 901-614-1902 | |
Dr. Lisa B. Alex, PH. D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4646 Poplar Ave Ste 419, Memphis, TN 38117 Phone: 901-682-6555 Fax: 901-682-6901 | |
Dr. Sean Phipps, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 262 Danny Thomas Pl, Memphis, TN 38105 Phone: 901-595-3006 Fax: 901-595-3842 | |
Dr. Amy Renee Hershberger, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1030 Jefferson Ave, Memphis, TN 38104 Phone: 901-523-8990 | |
Dr. Colby Douglas Butzon, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 711 Jefferson Ave, Memphis, TN 38105 Phone: 901-448-6511 Fax: 901-448-7097 |