OrganizationActive
Pediatric Psychiatric Professional LLC
NPI 1811719834 · Child & Adolescent Psychiatry Physician · Memphis, TN
Provider details
- NPI number
- 1811719834
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Frith, Operations Manager(318) 527-9322
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1661 International Dr Ste 400
Memphis, TN 38120-1431
Phone: (713) 628-8199
Fax: (901) 425-9726
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 17452
Memphis, TN 38187-0452
Registry dates
- Enumerated
- 2024-10-30
- Last updated
- 2024-10-30
- Certified
- 2024-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.