MEDICARE: DANIELLE RANAE KING PSY.D.

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	PY8417	FL
2	390200000X	Student in an Organized Health Care Education/Training Program
3	103TC0700X	Clinical Psychologist	P2985	TN

General Provider Information

NPI Number	:	1093941809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE RANAE KING PSY.D.

Provider Business Mailing Address
First Line	:	1923 SULPHUR SPRINGS RD
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37813-5654
Country	:	US
Telephone Number	:	423-317-9344
Fax Number	:	423-714-2355

Provider Business Practice Location Address
First Line	:	2574 FRAYSER BLVD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38127-5829
Country	:	US
Telephone Number	:	901-302-4361
Fax Number	:	865-342-0121

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2009
Last Update Date	:	03/29/2018

Similar Medicare Providers

1205820123 — DR. TOLAN VU MD
Practice Location Address:

2574 FRAYSER BLVD
MEMPHIS, TN
38127-5829

Practice Phone: 901-515-5300
Practice Fax: 901-358-6908

1780632877 — DONA LYN CLARIN FNP
Practice Location Address:

2574 FRAYSER BLVD
MEMPHIS, TN
38127-5829

Practice Phone: 901-515-5300
Practice Fax: 901-358-6908

1104878164 — DR. RHONDA CHARLENE JOHNSON M.D
Practice Location Address:

2574 FRAYSER BLVD
MEMPHIS, TN
38127-5829

Practice Phone: 901-515-5300
Practice Fax: 901-515-5390

1164456893 — KROGER LIMITED PARTNERSHIP I
Practice Location Address:

2632 FRAYSER BLVD
MEMPHIS, TN
38127-5829

Practice Phone: 901-353-8284
Practice Fax: 901-353-8285

1134204662 — DR. PETER JAMES BLATZ MD
Practice Location Address:

2574 FRAYSER BLVD
MEMPHIS, TN
38127-5829

Practice Phone: 901-271-9500
Practice Fax:

1912207119 — MRS. KENYA A FRAZIER
Practice Location Address:

2632 FRAYSER BLVD
MEMPHIS, TN
38127-5829

Practice Phone: 901-353-8284
Practice Fax: 901-353-8285

Directions to “ DANIELLE RANAE KING PSY.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.