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General NPI Number Information
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NPI Number | 1336406016
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Entity Type | Organization
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Legal Business Name | DR. E. MCPHERSON BOTTS, PSY.D.
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 05/12/2019
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Provider Practice Location Address
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Address Line | 399 DOVER RD UNIT B
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City | CLARKSVILLE
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State | TN
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Zip | 37042
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Country | US
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Telephone | 931-263-4824
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Fax | 719-466-2073
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Provider Business Mailing Address
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Address Line | 1585 BRIDGEWOOD RD
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City | CLARKSVILLE
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State | TN
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Zip | 37040-6815
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Country | US
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Telephone | 931-263-4824
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Fax | 719-466-2073
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST/OWNER
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Name | DR. ELIZABETH MCPHERSON BOTTS
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Credential | PSY.D.
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Telephone | 931-263-4824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1646
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3589
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3423
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License Number State | TN
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