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Individual

WILMER E AMOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
5384 POPLAR AVE, SUITE 313, MEMPHIS, TN 38119-3609
(901) 237-0261
(901) 683-2058
Mailing address
5384 POPLAR AVE, SUITE 313, MEMPHIS, TN 38119-3609
(901) 237-0261
(901) 683-2058

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
32483
MS
103TC0700X
Clinical Psychologist
Primary
P 1201
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0112244
MS
Enumeration date
11/09/2005
Last updated
08/01/2022
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