| Mr Otis Jackson Jr, | |
|
3311 Kimball Ave, Memphis, TN 38111-3846 | |
| (901) 207-4662 | |
| Not Available |
| Full Name | Mr Otis Jackson Jr |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Adult Development & Aging |
| Location | 3311 Kimball Ave, Memphis, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053710681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0700X | Psychologist - Adult Development & Aging | 1000000015105 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Otis Jackson Jr, 1092 Center Ridge Rd, Collierville, TN 38017-9207 Ph: (901) 870-6847 | Mr Otis Jackson Jr, 3311 Kimball Ave, Memphis, TN 38111-3846 Ph: (901) 207-4662 |
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 |