Randolph Gerald Potts in Memphis - Psychologist
Randolph Gerald Potts - NPI 1154434413
Randolph Gerald Potts is a Psychologist in Memphis, Tennessee. Randolph Gerald Potts practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Randolph Gerald Potts is 1154434413. The last update date is 2021-12-14.
Randolph Gerald Potts's current location address is 1325 Eastmoreland Ave Ste 101, Memphis, Tennessee. You can contact this provider via phone number 9015168785 and fax number 9015168358. The mailing address for Randolph Gerald Potts is 1325 Eastmoreland Ave Ste 101, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randolph Gerald Potts |
|---|---|
| Address | 1325 Eastmoreland Ave Ste 101, Memphis, Tennessee |
| Phone Number | 9015168785 |
| Fax Number | 9015168358 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1154434413 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2021-12-14 |
Provider Mailing Address Detail
| Address | 1325 Eastmoreland Ave Ste 101 |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381043507 |
| Phone Number | 9015168785 |
| Fax Number | 9015168358 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | P0000002490 |
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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 10-digit identifier code assigned to Randolph Gerald Potts by the Centers for Medicare & Medicaid Services?
The Randolph Gerald Potts has been issued the NPI (National Provider Identifier) 1154434413 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Randolph Gerald Potts's physical address?
The Randolph Gerald Potts is physically located at 1325 Eastmoreland Ave Ste 101, in the city of Memphis, TN, with the postal code 381043507.
What is Randolph Gerald Potts's specialized field of practice, and what is the corresponding taxonomy classification code?
The Randolph Gerald Potts's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did Randolph Gerald Potts receive its 1154434413 assignment from the Centers for Medicare & Medicaid Services?
The Randolph Gerald Potts was assigned its 1154434413 on 2006-08-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Randolph Gerald Potts most recently updated or revised?
The information pertaining to Randolph Gerald Potts, including its address, specialty, and other relevant details, was last updated or revised on 2021-12-14.