Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
N | 101YP2500X | Professional Counselor | ||
N | 102L00000X | Psychologist | ||
N | 103T00000X | Psychologist | ||
N | 103TF0000X | Family Psychologist | ||
Y | 103TF0200X | Forensic Psychologist | ||
N | 103TR0400X | Rehabilitation Psychologist | ||
N | 225XM0800X | Mental Health |
NPI | 1194233304 |
---|---|
Provider Name | Dr. Femi Folorunsho |
First Address | Memphis, TN 38108-3330 |
Second Address | Memphis, TN 38108-3330 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2018 |
Last Update Date | 10/11/2019 |