Individual
DR. COLBY DOUGLAS BUTZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3876 NEW COVINGTON PIKE, MEMPHIS, TN 38128-2512
(901) 377-2711
(901) 382-9051
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2905
TN
103TC0700X
Clinical Psychologist
Primary
2905
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I680978
MEDICARE PTAN
TN
05
—
1516308
—
TN
Enumeration date
09/22/2009
Last updated
01/27/2026
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