Organization
CHAMBERLIN CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULETTE DICKERSON (PRACTICE MANAGER)
(901) 757-0568
Entity
Organization
Contact information
Practice address
8316 MACON TER, SUITE 103, CORDOVA, TN 38018-8505
(901) 757-0568
(901) 754-8247
Mailing address
8316 MACON TER, SUITE 103, CORDOVA, TN 38018-8505
(901) 757-0568
(901) 754-8247
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
P0000001065
TN
103TC1900X
Counseling Psychologist
P0000002344
TN
1041C0700X
Clinical Social Worker
LSW0000004111
TN
2084P0800X
Psychiatry Physician
Primary
B04332
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
P91022
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Q14401
TN
Other
Enumeration date
09/06/2007
Last updated
08/28/2014
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