Doctor Name: | DR. CAROLINE GAGE SANFORD |
NPI Number: | 1003846536 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | P1296 |
Business Practice Address: | 5154 Stage Rd Suite 102 Memphis, TN - 381343118 |
Business Phone Number: | 9013729133 |
Business Fax Number: | 9013721015 |
Mailing Address: | 5154 Stage Rd, Suite 102 MEMPHIS |
State: | TN |
Postal Code: | 381343118 |
Phone Number: | 9013729133 |
Fax Number: | 9013721015 |
NPI Enumeration Date: | 07/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | P1296 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |