Provider Demographics
NPI:1740336445
Name:ASSOCIATES IN PSYCHOLOGY AND PSYCHIATRY
Entity type:Organization
Organization Name:ASSOCIATES IN PSYCHOLOGY AND PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:ARONOV
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:901-761-2622
Mailing Address - Street 1:5170 SANDERLIN AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117-4360
Mailing Address - Country:US
Mailing Address - Phone:901-761-2622
Mailing Address - Fax:901-761-2355
Practice Address - Street 1:5170 SANDERLIN AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38117-4360
Practice Address - Country:US
Practice Address - Phone:901-761-2622
Practice Address - Fax:901-761-2355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP563103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3689914Medicare PIN
TN3710841Medicare PIN