Individual
DR. ELVIN THOMASEO BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
51 N DUNLAP ST, STE. G145, MEMPHIS, TN 38105-4625
(901) 287-5565
Mailing address
186 MARKET ST # 310, MEMPHIS, TN 38105-3537
(617) 445-1579
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
3295
TN
103TC0700X
Clinical Psychologist
9642
MA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS019677
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q014670
—
TN
Enumeration date
10/22/2012
Last updated
11/15/2022
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