Most Relevant Information
Provider Data
| NPI Number: | 1003664517 |
| Provider Name: | BOAZ RODERICK FUTCH PHD.PSY |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC1900X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/09/2024 |
| Last Updated: | 05/09/2024 |
Provider Practice Location
952 DECATUR ST
MEMPHIS
TN
381072703
Practice Location Phone/Fax
| Phone: | 9016445713 |
| Fax: |
Provider Mailing Location
PO BOX 70700
MEMPHIS
TN
381070700
Provider Mailing Phone/Fax
| Phone: | 9016445713 |
| Fax: |