Individual
ELLEN MAHONEY CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(603) 359-8420
Mailing address
1030 JEFFERSON AVE, NEUROPSYCHOLOGY CLINIC, #116A4, MEMPHIS, TN 38104-2127
(901) 523-8990
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
163WX0002X
High-Risk Obstetric Registered Nurse
26505
MT
Other
Enumeration date
06/24/2007
Last updated
11/05/2008
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