Provider Demographics
NPI:1235356601
Name:ADLER, NANCY L
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:L
Last Name:ADLER
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:NANCY
Other - Middle Name:L
Other - Last Name:ADLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:5429 SOUTHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-1928
Mailing Address - Country:US
Mailing Address - Phone:901-763-2204
Mailing Address - Fax:
Practice Address - Street 1:5583 MURRAY RD
Practice Address - Street 2:SUITE 210
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-3841
Practice Address - Country:US
Practice Address - Phone:901-682-7388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00001600103T00000X
AR908P103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist