Organization
VICKIE RENEA BREWER
Active
Other names
Center for Pediatric Neuropsychology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOB D CASPALL (CHIEF OPERATING OFFICER)
(901) 287-5220
Entity
Organization
Contact information
Practice address
50 N DUNLAP ST, BOX 18, MEMPHIS, TN 38103-2800
(901) 287-5220
(901) 287-4502
Mailing address
777 WASHINGTON AVE, SUITE P235, MEMPHIS, TN 38105-4550
(901) 287-5220
(901) 287-4502
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
P2103
TN
Other
Enumeration date
12/21/2006
Last updated
08/22/2020
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