Provider Demographics
NPI:1134142011
Name:COVEY, FLOYD L SR (PHD)
Entity Type:Individual
Prefix:
First Name:FLOYD
Middle Name:L
Last Name:COVEY
Suffix:SR
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 69
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38027-0069
Mailing Address - Country:US
Mailing Address - Phone:901-854-9030
Mailing Address - Fax:901-853-6020
Practice Address - Street 1:328 POPLAR VIEW LANE E
Practice Address - Street 2:SUITE #1
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017
Practice Address - Country:US
Practice Address - Phone:901-854-9030
Practice Address - Fax:901-853-6020
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP1552103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3685404Medicaid
TN3685404Medicare ID - Type Unspecified
R88257Medicare UPIN