Paul, Connie S

Paul, Connie S is an individual health care provider with primary practice located at 5154 Stage Rd Suite 102, Memphis TN 38134-3118. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Paul, Connie S can be contacted via phone (901) 372-9133.

Contact Information

Primary practice address
5154 Stage Rd Suite 102 Memphis TN 38134-3118
Phone: (901) 372-9133
Fax: (901) 372-1015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X P772 Tennessee
Behavioral Health & Social Service Providers / Clinical 103TC0700X P772 Tennessee
Behavioral Health & Social Service Providers / Health Service 103TH0100X P772 Tennessee

Profile Details

NPI number 1285660621
LBN Legal business name Paul, Connie S
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1285660621 NPPES
Tennessee Other 4067036 BCBS OF TN MEDICAL
Tennessee MEDICAID 3682508 BCBS OF TN MEDICAL
Tennessee Other 2134263 BCBS OF TN MEDICAL
Tennessee Other 4053320 BCBS OF TN MEDICAL

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