Connie S Paul is a Health Service in Memphis, Tennessee. Connie S Paul practices all healthcare services and medical treatments related to Health Service. The NPI Number for Connie S Paul is 1285660621. The last update date is 2007-07-08.
Connie S Paul's current location address is 5154 Stage Rd, Memphis, Tennessee. You can contact this provider via phone number 9013729133 and fax number 9013721015. The mailing address for Connie S Paul is 5154 Stage Rd, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Connie S Paul |
|---|---|
| Address | 5154 Stage Rd, Memphis, Tennessee |
| Phone Number | 9013729133 |
| Fax Number | 9013721015 |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1285660621 |
|---|---|
| Provider Enumeration Date | 2006-06-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5154 Stage Rd |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381343118 |
| Phone Number | 9013729133 |
| Fax Number | 9013721015 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
| Licence No | P772 |
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Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4067036 | TN | BCBS OF TN MEDICAL | |
| 3682508 | TN | -- | |
| 2134263 | CIGNA BEHAVIORAL HEALTH | ||
| 4053320 | TN | BCBS OF TN MENTAL HEALTH |
Post Comment/ Review Below
What is the unique identification code assigned to Connie S Paul by the Centers for Medicare & Medicaid Services?
The Connie S Paul has been issued the NPI (National Provider Identifier) 1285660621. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Connie S Paul is located?
The Connie S Paul is situated at the following address: 5154 Stage Rd, Memphis, TN, 381343118.
What is the Connie S Paul's area of specialization and corresponding taxonomy classification?
The Connie S Paul's specialty field is Health Service, and it falls under the taxonomy code 103Th0100X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285660621 to Connie S Paul?
The Centers for Medicare & Medicaid Services originally issued the 1285660621 to Connie S Paul on 2006-06-25.
When was the information related to Connie S Paul most recently updated or refreshed?
The details pertaining to the Connie S Paul, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY