Organization
PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOBY ALTFELD (EXECUTIVE DIRECTOR)
(731) 394-0749
Entity
Organization
Contact information
Practice address
156 W UNIVERSITY PKWY, C, JACKSON, TN 38305-1617
(731) 394-0749
(731) 512-3874
Mailing address
71 SOUTHWIND DR, JACKSON, TN 38305-3963
(731) 394-0749
(731) 512-3874
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
TN
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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