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Contact Information

ALICIA L AUTRY, PhD
7516 ENTERPRISE AVE
SUITE 1
GERMANTOWN, TN38138-3802
 Phone: 901-755-5802
 Fax: 901-757-2249
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ALICIA L AUTRY · (Female)

NPI Number 1528519576
Status Active
Credentials PhD
Entity Individual
Enumeration date 10/14/2016
Last updated 10/14/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • TN License # PROVISIONAL 3440
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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