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Nicholas Eric Ray, MAT
Developmental Disabilities Clinic/Center in Germantown, Tennessee
NPI 1104415801

Nicholas Eric Ray is a Developmental Disabilities Clinic/Center based in Germantown, TN and is specialized in Developmental Disabilities. Nicholas Eric Ray practices in Germantown, TN and has the professional credentials of MAT. The NPI Number for Nicholas Eric Ray is 1104415801 and holds a License No. 200004323 (Tennessee).

The current practice location address for Nicholas Eric Ray is 1507 Poplar Estates Pkwy, Germantown, TN and can be reached out via phone at 901-828-1146.

Location: 1507 Poplar Estates Pkwy, Germantown, TN, 38138-1840
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104415801
Provider Name
Nicholas Eric Ray
Credential
MAT
Provider Entity Type
Individual
Gender
Male
Address
1507 Poplar Estates Pkwy, Germantown, TN, 38138-1840
Phone Number
901-828-1146
Fax Number
Provider Enumeration Date
01/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1507 Poplar Estates Pkwy
City
Germantown
State
Tennessee
Zip
38138-1840
Phone Number
901-828-1146
Fax Number
person
Provider Business Mailing Address Details
Address
1507 Poplar Estates Pkwy
City
Germantown
State
Tennessee
Zip
38138-1840
Phone Number
901-828-1146
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
200004323 (Tennessee)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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