Healthcare Provider Details

I. General information

NPI: 1164978268
Provider Name (Legal Business Name): CHRISTOPHER FERRAND PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2016
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3051 KIRBY WHITTEN ROAD STE 5
BARTLETT TN
38134-2811
US

IV. Provider business mailing address

3051 KIRBY WHITTEN RD STE 5
BARTLETT TN
38134-2811
US

V. Phone/Fax

Practice location:
  • Phone: 901-440-0989
  • Fax: 901-425-9785
Mailing address:
  • Phone: 901-440-0989
  • Fax: 901-425-9785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3408
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: