Individual
ANDREA N. JURBERGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Mailing address
262 DANNY THOMAS PL, MS 515, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2679
TN
103TC0700X
Clinical Psychologist
Primary
2679
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509952
—
TN
Enumeration date
06/13/2007
Last updated
02/04/2025
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