NPI 1902832272 · live from the CMS NPI Registry
Amy Balentine, PH.D
Psychologist in Cordova, TN. National Provider Identifier 1902832272, active.
NPI record
| NPI | 1902832272 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 8115 Country Village Dr, Cordova, TN 38016 |
| Practice phone | 901-752-2300 |
| Mailing address | 1211 Union Ave Ste 330, Memphis, TN 38104 |
| Enumerated | June 25, 2006 |
| Last updated | September 15, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | P0000002519 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.