| Dr Colby Douglas Butzon, PHD | |
|
711 Jefferson Ave, Memphis, TN 38105-5003 | |
| (901) 448-6511 | |
| (901) 448-7097 |
| Full Name | Dr Colby Douglas Butzon |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 711 Jefferson Ave, Memphis, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023342136 | NPI | - | NPPES |
| 1516308 | Medicaid | TN | |
| 103I680978 | Other | TN | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | P0000002905 (Tennessee) | Primary |
| 103T00000X | Psychologist | 2905 (Tennessee) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Colby Douglas Butzon, PHD Po Box 1000 Dept 978, Memphis, TN 38148-5003 Ph: (901) 478-0954 | Dr Colby Douglas Butzon, PHD 711 Jefferson Ave, Memphis, TN 38105-5003 Ph: (901) 448-6511 |
Ms. Heather Marie Conklin, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 262 Danny Thomas Pl, Memphis, TN 38105 Phone: 901-595-3006 Fax: 901-595-3842 | |
Teressa Davis Davis, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 815 N Mclean Blvd, Memphis, TN 38107 Phone: 901-614-1902 | |
Dr. Lisa B. Alex, PH. D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4646 Poplar Ave Ste 419, Memphis, TN 38117 Phone: 901-682-6555 Fax: 901-682-6901 | |
Dr. Sean Phipps, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 262 Danny Thomas Pl, Memphis, TN 38105 Phone: 901-595-3006 Fax: 901-595-3842 | |
Dr. Amy Renee Hershberger, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1030 Jefferson Ave, Memphis, TN 38104 Phone: 901-523-8990 | |
Dr. Clairressa Jeanette Goad, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1030 Jefferson Ave, Memphis, TN 38104 Phone: 901-523-8990 Fax: 901-577-7381 |