Provider Demographics
NPI:1063482677
Name:TURNER, RAY A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RAY
Middle Name:A
Last Name:TURNER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 UNION AVENUE EXT
Mailing Address - Street 2:SUITE 516
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38112-4400
Mailing Address - Country:US
Mailing Address - Phone:901-323-5353
Mailing Address - Fax:901-578-3534
Practice Address - Street 1:2701 UNION AVENUE EXT
Practice Address - Street 2:SUITE 516
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38112-4400
Practice Address - Country:US
Practice Address - Phone:901-323-5353
Practice Address - Fax:901-578-3534
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP1791103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical