Ali, Jeanelle Sonya

Ali, Jeanelle Sonya is an individual health care provider with primary practice located at 848 Adams Ave Ste L400 , Memphis TN 38103-2816. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Ali, Jeanelle Sonya can be contacted via phone (901) 287-7337.

Contact Information

Primary practice address
848 Adams Ave Ste L400 Memphis TN 38103-2816
Phone: (901) 287-7337
Fax: (901) 287-4540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 3667 Tennessee

Profile Details

NPI number 1912538950
LBN Legal business name Ali, Jeanelle Sonya
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2020
Last updated Sep 17th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912538950 NPPES
Tennessee MEDICAID Q060269

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