MEDICARE: PAUL HENRY MOWRY PH.D. STUDENT

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	103TC1900X	Counseling Psychologist
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1891545703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL HENRY MOWRY PH.D. STUDENT

Provider Business Mailing Address
First Line	:	4858 SNICKERS DR
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38002-8707
Country	:	US
Telephone Number	:	901-569-4347
Fax Number	:

Provider Business Practice Location Address
First Line	:	4858 SNICKERS DR
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38002-8707
Country	:	US
Telephone Number	:	901-569-4347
Fax Number	:

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

Provider Enumeration Date	:	03/25/2024
Last Update Date	:	03/25/2024

Similar Medicare Providers

1235325150 — MS. VERONICA LIGGINS MAC
Practice Location Address:

7410 MEMPHIS ARLINGTON ROAD
BARTLETT, TN
38002

Practice Phone: 901-252-7899
Practice Fax: 901-252-7880

1275706814 — MISS JENNIFER APRIL PEACOCK MSW, BCBA
Practice Location Address:

5154 OLIVER GROVE LN
BARTLETT, TN
38002-9000

Practice Phone: 901-488-0427
Practice Fax:

1154693646 — MS. NYREE JOHNSON LCSW
Practice Location Address:

6982 WALKER FARMS DR
BARTLETT, TN
38002-2524

Practice Phone: 407-797-4299
Practice Fax:

1548695430 — ALISHIA ELLIS HEASTON OTR/L
Practice Location Address:

4603 CRADDLE HILL DR
BARTLETT, TN
38002-1501

Practice Phone: 901-487-2039
Practice Fax:

1285054312 — MR. CHRISTOPHER Z WILKINSON N.P.
Practice Location Address:

8806 CRADDLE HILL CV
BARTLETT, TN
38002-5134

Practice Phone: 253-441-9299
Practice Fax:

1437774502 — LIVING WITHOUT LIMITS HOME MODIFICATION AND ACCESSIBILITY, LLC
Practice Location Address:

4603 CRADDLE HILL DR
BARTLETT, TN
38002-1501

Practice Phone: 901-487-2039
Practice Fax:

Directions to “ PAUL HENRY MOWRY PH.D. STUDENT” 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.