Individual
CONNIE S PAUL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5154 STAGE RD, SUITE 102, MEMPHIS, TN 38134-3118
(901) 372-9133
(901) 372-1015
Mailing address
5154 STAGE RD, SUITE 102, MEMPHIS, TN 38134-3118
(901) 372-9133
(901) 372-1015
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
P772
TN
103TC0700X
Clinical Psychologist
P772
TN
103TH0100X
Health Service Psychologist
Primary
P772
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134263
CIGNA BEHAVIORAL HEALTH
—
05
—
3682508
—
TN
01
—
4053320
BCBS OF TN MENTAL HEALTH
TN
01
—
4067036
BCBS OF TN MEDICAL
TN
Enumeration date
06/25/2006
Last updated
09/11/2025
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