Healthcare Provider Details

I. General information

NPI: 1538255872
Provider Name (Legal Business Name): JENNIFER L GETER PSYCHOLOGIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 03/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1407 UNION AVE SUITE 709
MEMPHIS TN
38104-3641
US

IV. Provider business mailing address

1407 UNION AVE SUITE 709
MEMPHIS TN
38104-3641
US

V. Phone/Fax

Practice location:
  • Phone: 901-726-5200
  • Fax: 901-725-3883
Mailing address:
  • Phone: 901-726-5200
  • Fax: 901-725-3883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberP2407
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberP2407
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: