Individual provider · Type 1 NPI

Bobby Rouse Sr., PhD

Health Service Psychologist · Memphis, TN

NPI number 1144629072 Active

Practice location

5152 Sequoia Rd
Memphis, TN 38117-2123

Mailing address

29 N Star Dr Ste C
Jackson, TN 38305-6657

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100X335 (TN)

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

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About NPI 1144629072

Bobby Rouse Sr., PhD's National Provider Identifier is 1144629072, issued on Aug 15, 2014. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Memphis, TN. The record was last updated on Aug 15, 2014.