Organization
SYMED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA KING (DIRECTOR, CREDENTIALING ENROLLMENT)
(800) 370-3651
Entity
Organization
Contact information
Practice address
3150 LENOX PARK BLVD, SUITE 214, MEMPHIS, TN 38115-4299
(901) 273-2368
(901) 273-2351
Mailing address
55 HATCHETTS HILL RD, OLD LYME, CT 06371-1534
(800) 370-3651
(877) 515-7147
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3377955
—
TN
Enumeration date
03/05/2007
Last updated
07/10/2017
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