PSY.D. Russell L Bolyard, NPI 1073562997
Psychologist in Memphis, TN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1073562997
NPI Entity Type Individual
Provider Name PSY.D. Russell L Bolyard
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1282 Union Ave, Health South Rehabilitation Hospital, Memphis, TN, US
Provider Mailing Address 9477 Cedar Glen Cv, Cordova, TN, US, 380164700
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

103T00000X

Taxonomy Name Psychologist
Classification

Psychologist

Group

Behavioral Health & Social Service Providers

License No. P00907
License State TN
Description A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Business Address

PSY.D. Russell L Bolyard
1282 Union Ave
Health South Rehabilitation Hospital

Memphis, TN, US

Phone: 901-729-5159

Mailing Address

PSY.D. Russell L Bolyard
9477 Cedar Glen Cv
Cordova, TN, US
ZIP 380164700
Phone: 901-729-5159

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
00951505 MS MEDICAID 05
3100399 TN BCBS OF TN 01
3689428 TN MEDICAID 05

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