Russell L Bolyard, PSYD | |
1282 Union Ave, Health South Rehabilitation Hospital, Memphis, TN 38104-3414 | |
(901) 729-5159 | |
Not Available |
Full Name | Russell L Bolyard |
---|---|
Gender | Male |
Speciality | Psychologist |
Location | 1282 Union Ave, Memphis, Tennessee |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073562997 | NPI | - | NPPES |
00951505 | Medicaid | MS | |
3100399 | Other | TN | BCBS OF TN |
3689428 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | P00907 (Tennessee) | Primary |
Mailing Address | Practice Location Address |
---|---|
Russell L Bolyard, PSYD 9477 Cedar Glen Cv, Cordova, TN 38016-4700 Ph: (901) 729-5159 | Russell L Bolyard, PSYD 1282 Union Ave, Health South Rehabilitation Hospital, Memphis, TN 38104-3414 Ph: (901) 729-5159 |
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 |