Individual
DENISE LANDAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4646 POPLAR AVE STE 217, MEMPHIS, TN 38117-4432
(901) 652-5344
(888) 418-6339
Mailing address
PO BOX 341104, BARTLETT, TN 38184-1104
(901) 652-5344
(888) 418-6339
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P1212
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3071776
BLUE CROSS BLUE SHIELD
TN
Enumeration date
11/16/2006
Last updated
11/05/2015
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