Organization
DR. E. MCPHERSON BOTTS, PSY.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH MCPHERSON BOTTS PSY.D. (CLINICAL PSYCHOLOGIST/OWNER)
(931) 263-4824
Entity
Organization
Contact information
Practice address
399 DOVER RD UNIT B, CLARKSVILLE, TN 37042
(931) 263-4824
(719) 466-2073
Mailing address
1585 BRIDGEWOOD RD, CLARKSVILLE, TN 37040-6815
(931) 263-4824
(719) 466-2073
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1646
AL
103TC0700X
Clinical Psychologist
Primary
3423
TN
103TC0700X
Clinical Psychologist
3589
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q008340281
MEDICARE
TN
05
—
Q045451
—
TN
Enumeration date
04/18/2012
Last updated
05/12/2019
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