Organization
VIRTUAL ADHD SERVICES AND TESTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH MILLER (ADMINISTRATIVE DIRECTOR)
(901) 492-1480
Entity
Organization
Contact information
Practice address
8935 MAGNOLIA LEAF CV, CORDOVA, TN 38018-7413
(901) 492-1480
Mailing address
8935 MAGNOLIA LEAF CV, CORDOVA, TN 38018-7413
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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