Search › Tennessee › 103T00000X
Anice Modesto, PH.D
NPI 1477750685 · on the registry since 2007 · sole proprietor
Practice
- Address
- 214 Wilder Tower
University Of Memphis, Ccl&T
Memphis, TN 38152 - Phone
- (901) 678-2068
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-19
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