Individual
DR. CODY RAINE DUCKWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
8065 SAG HARBOR CIR, APT 102, CORDOVA, TN 38016-5998
(301) 988-1588
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001262
IA
Other
Enumeration date
07/28/2012
Last updated
07/28/2012
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