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Russell Bolyard, PSY.D
NPI 1073562997 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1282 Union Ave
Health South Rehabilitation Hospital
Memphis, TN 38104 - Phone
- (901) 729-5159
- Organisation at this address
- Amy Funderburk, Md Pc
M.D. Hospitalists, Llc
Encompass Health Methodist Rehabilitation Hospital, LpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Psychologist
103T00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-04-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee