Female

Dr. Tahere Pourmotabbed PHD

Clinical Psychologist in Cordova, TN(View on Map)

Full Name

Dr. Tahere Pourmotabbed PHD

NPI Number

1649343765

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/16/2006

Specialties

(Taxonomies)

Code

103TC0700X

Primary Taxonomy

Yes

Licenses

State

Tennessee

License Number

P0000002344

Contact
Information

Purpose

Mailing
Location

Address

8110 CORDOVA RD
8110 CORDOVA RD

City

Cordova
Cordova

State

TN
TN

Postal Code

38016-0520
38016-0520

Country

US
US

Telephone Number

(901) 757-0568
(901) 757-0568

Identifiers

Identifier

4094352
3387193

Identifier State

TN
TN

Identifier Issuer

BCBS OF TN
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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