Organization
CHRISTIAN PSYCHOLOGICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONIA L LONG PH.D. (CLINICAL PSYCHOLOGIST)
(901) 458-6291
Entity
Organization
Contact information
Practice address
3950 CENTRAL AVE, MEMPHIS, TN 38111-7602
(901) 458-6291
(901) 323-4848
Mailing address
3950 CENTRAL AVE, MEMPHIS, TN 38111-7602
(901) 458-6291
(901) 323-4848
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
TN
103T00000X
Psychologist
Primary
—
TN
1041C0700X
Clinical Social Worker
—
TN
Other
Enumeration date
08/02/2005
Last updated
08/21/2012
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