Whalio Doctors

NPI 1083662373

Tucker D Johnson, PHD

Practitioner Clinical Psychologist Germantown, TN

Practice location

Address
2014 Exeter Rd, Germantown, TN 38138-3945
Phone
(901) 624-4600
Fax
(901) 757-1485
Mailing address
122 Covington St PO Box 147, Stanton, TN 38069-4428

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence P0000002427 (TN)

Registry record

NPI
1083662373
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 May 2006
Record last updated
12 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.