MEDICARE: ASSOCIATES IN PSYCHOLOGY AND PSYCHIATRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	P563	TN

General Provider Information

NPI Number	:	1740336445
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATES IN PSYCHOLOGY AND PSYCHIATRY

Provider Business Mailing Address
First Line	:	5170 SANDERLIN AVE
Second Line	:	SUITE 204
City	:	MEMPHIS
State	:	TN
Zip	:	38117-4360
Country	:	US
Telephone Number	:	901-761-2622
Fax Number	:	901-761-2355

Provider Business Practice Location Address
First Line	:	5170 SANDERLIN AVE
Second Line	:	SUITE 204
City	:	MEMPHIS
State	:	TN
Zip	:	38117-4360
Country	:	US
Telephone Number	:	901-761-2622
Fax Number	:	901-761-2355

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. NEIL EDWARD ARONOV
Credential	:	PH.D.
Telephone Number	:	901-761-2622

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	10/03/2007

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