OrganizationActive
Division of Clinical Neurosciences, LLC
NPI 1912270679 · Clinical Neuropsychologist · Memphis, TN
Provider details
- NPI number
- 1912270679
- Entity type
- Organization
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Mike Nesbit, Authorized Official(901) 287-5182
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1211 Union Ave
Suite 700
Memphis, TN 38104-6638
Phone: (901) 287-5182
Fax: (901) 287-6700
Approximate (ZIP-level) locationGet directions
Mailing address
1211 Union Ave
Memphis, TN 38104-6638
Registry dates
- Enumerated
- 2012-02-10
- Last updated
- 2012-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.