Individual
BOBBY ROUSE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5152 SEQUOIA RD, MEMPHIS, TN 38117-2123
(901) 351-4649
Mailing address
29 N STAR DR STE C, JACKSON, TN 38305-6657
(731) 664-7949
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
335
TN
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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