Provider Demographics
NPI:1215240890
Name:MEMPHIS NEUROPSYCHOLOGY LLC
Entity type:Organization
Organization Name:MEMPHIS NEUROPSYCHOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:D
Authorized Official - Last Name:RICHIE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:901-737-6677
Mailing Address - Street 1:8000 CENTERVIEW PKWY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-4227
Mailing Address - Country:US
Mailing Address - Phone:901-737-6677
Mailing Address - Fax:901-758-5066
Practice Address - Street 1:8000 CENTERVIEW PKWY
Practice Address - Street 2:SUITE 103
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-4227
Practice Address - Country:US
Practice Address - Phone:901-737-6677
Practice Address - Fax:901-758-5066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-23
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty