Female

Sophia Fouche PH.D

Clinical Psychologist in Jackson, TN(View on Map)

Full Name

Sophia Fouche PH.D

NPI Number

1871995977

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/19/2014

Specialties

(Taxonomies)

Code

103TC0700X

Primary Taxonomy

Yes

Licenses

State

Tennessee
Texas

License Number

3271
36394

Contact
Information

Purpose

Mailing
Location

Address

119 BARNES RD
3006 GREYSTONE SQ

City

Medina
Jackson

State

TN
TN

Postal Code

38355-8697
38305-3589

Country

US
US

Telephone Number

(860) 230-6947
(608) 230-6947

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

Data last updated by provider on 06/01/2022

Provider Address

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