Individual
JEANELLE SONYA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
848 ADAMS AVE STE L400, MEMPHIS, TN 38103-2816
(901) 287-7337
(901) 287-4540
Mailing address
850 POPLAR AVE BLDG 2, MEMPHIS, TN 38105-4607
(901) 287-6804
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3667
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q060269
—
TN
Enumeration date
01/29/2020
Last updated
09/17/2020
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