NPI 1134100712 · live from the CMS NPI Registry
Wilmer E Amos, Ph.D.
Psychologist, Clinical in Memphis, TN. National Provider Identifier 1134100712, active.
NPI record
| NPI | 1134100712 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 5384 Poplar Ave, Suite 313, Memphis, TN 38119 |
| Practice phone | 901-237-0261 |
| Enumerated | November 9, 2005 |
| Last updated | August 1, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical | 103TC0700X | 32483 (MS) |
| Psychologist, Clinical primary | 103TC0700X | p 1201 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.