Individual
DR. THOMAS ENNIS ELKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4738 WALNUT GROVE RD, SUITE 303, MEMPHIS, TN 38117-2524
(901) 767-0762
Mailing address
4738 WALNUT GROVE RD, SUITE 303, MEMPHIS, TN 38117-2524
(901) 767-0762
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P000597
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134571
BCBS
TN
Enumeration date
01/15/2007
Last updated
07/08/2007
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