| Memphis Neurofeedback | |
|
758 Walnut Knoll Ln Suite 101 Cordova TN 38018-3112 | |
| (901) 624-0100 | |
| (901) 624-0778 |
| Full Name | Memphis Neurofeedback |
|---|---|
| Speciality | Psychologist |
| Location | 758 Walnut Knoll Ln, Cordova, Tennessee |
| Authorized Official Name and Position | Dale Sherrod Foster (PSYCHOLOGIST / OWNER) |
| Authorized Official Contact | 9016240100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memphis Neurofeedback 758 Walnut Knoll Ln Suite 101 Cordova TN 38018-3112 Ph: (901) 624-0100 | Memphis Neurofeedback 758 Walnut Knoll Ln Suite 101 Cordova TN 38018-3112 Ph: (901) 624-0100 |
| NPI Number | 1043639818 |
|---|---|
| Provider Enumeration Date | 04/09/2014 |
| Last Update Date | 04/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043639818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | P1439 (Tennessee) | Primary |
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