Amy Balentine is a Psychologist in Memphis, Tennessee. Amy Balentine practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Amy Balentine is 1902832272. The last update date is 2007-12-27.
Amy Balentine's current location address is 711 Jefferson Ave, Memphis, Tennessee. You can contact this provider via phone number 9014486511 and fax number 9014487097. The mailing address for Amy Balentine is 711 Jefferson Ave, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Balentine |
|---|---|
| Address | 711 Jefferson Ave, Memphis, Tennessee |
| Phone Number | 9014486511 |
| Fax Number | 9014487097 |
| Sole Proprietor | N |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1902832272 |
|---|---|
| Provider Enumeration Date | 2006-06-25 |
| Last Updated Date | 2007-12-27 |
Provider Mailing Address Detail
| Address | 711 Jefferson Ave |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381055003 |
| Phone Number | 9014486511 |
| Fax Number | 9014487097 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | P0000002519 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique identification code assigned to Amy Balentine by the Centers for Medicare & Medicaid Services?
The Amy Balentine has been issued the NPI (National Provider Identifier) 1902832272. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Amy Balentine?
The Amy Balentine is physically situated at 711 Jefferson Ave, in the city of Memphis, state of TN, with the postal code 381055003.
What is Amy Balentine's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Amy Balentine's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1902832272 to Amy Balentine?
The Amy Balentine received its 1902832272 assignment from the Centers for Medicare & Medicaid Services on 2006-06-25.
As of what date were the Amy Balentine's details last updated?
The information pertaining to the Amy Balentine, including its address, specialty, and other details, was most recently updated on 2007-12-27.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC