Charissa C Camp is a Psychologist in Memphis, Tennessee. Charissa C Camp practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Charissa C Camp is 1215940515. The last update date is 2007-07-23.
Charissa C Camp's current location address is 6263 Poplar Ave, Memphis, Tennessee. You can contact this provider via phone number 9017611511 and fax number 9017611116. The mailing address for Charissa C Camp is 6263 Poplar Ave, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charissa C Camp |
|---|---|
| Address | 6263 Poplar Ave, Memphis, Tennessee |
| Phone Number | 9017611511 |
| Fax Number | 9017611116 |
| Sole Proprietor | Y |
| Credentials | PH.D., ABP |
NPI Number Detail
| NPI Number | 1215940515 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2007-07-23 |
Provider Mailing Address Detail
| Address | 6263 Poplar Ave |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381194738 |
| Phone Number | 9017611511 |
| Fax Number | 9017611116 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | P2077 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3982928 | TN | -- | |
| 4108657 | TN | BC/BS OF TN PIN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Charissa C Camp?
The Charissa C Camp has been issued the NPI (National Provider Identifier) 1215940515 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Charissa C Camp is geographically located?
The Charissa C Camp is physically situated at the following location: 6263 Poplar Ave, Memphis, TN, 381194738.
What is Charissa C Camp's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Charissa C Camp is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1215940515 to Charissa C Camp?
The Centers for Medicare & Medicaid Services assigned the 1215940515 to Charissa C Camp on 2006-08-15.
When was the information pertaining to Charissa C Camp most recently updated or revised?
The details related to Charissa C Camp, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-23.
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