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Individual

HERMAN PAUL STANLEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
3150 LENOX PARK BLVD, SUITE 214, MEMPHIS, TN 38115-4299
(901) 273-2368
(901) 273-2351
Mailing address
3150 LENOX PARK BLVD, SUITE 214, MEMPHIS, TN 38115-4299
(901) 273-2368
(901) 273-2351

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P0000000997
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3685276
TN
Enumeration date
05/31/2006
Last updated
06/10/2008
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