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Contact Information

DR. E. MCPHERSON BOTTS, PSY.D.
399 DOVER RD UNIT B
CLARKSVILLE, TN37042
 Phone: 931-263-4824
 Fax: 719-466-2073
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DR. E. MCPHERSON BOTTS, PSY.D.

NPI Number 1336406016
LBN Legal business name DR. E. MCPHERSON BOTTS, PSY.D.
Authorized official ELIZABETH BOTTS - (CLINICAL PSYCHOLOGIST/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2012
Last updated 05/12/2019 - About 7 years ago
Identifiers
AL License # 1646
CO License # 3589
TN License # 3423
TN Medicaid Q045451
TN Other Q008340281 MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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