William R. Gentry, Jr., Ph.d., P.c. | |
1922 Exeter Rd Suite 7 Germantown TN 38138-2949 | |
(901) 754-9688 | |
(901) 754-8630 |
Full Name | William R. Gentry, Jr., Ph.d., P.c. |
---|---|
Speciality | Psychologist - Clinical |
Location | 1922 Exeter Rd, Germantown, Tennessee |
Authorized Official Name and Position | William R. Gentry (OWNER) |
Authorized Official Contact | 9017549688 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
William R. Gentry, Jr., Ph.d., P.c. 1922 Exeter Rd Suite 7 Germantown TN 38138-2949 Ph: (901) 754-9688 | William R. Gentry, Jr., Ph.d., P.c. 1922 Exeter Rd Suite 7 Germantown TN 38138-2949 Ph: (901) 754-9688 |
NPI Number | 1669675898 |
---|---|
Provider Enumeration Date | 06/06/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669675898 | NPI | - | NPPES |
3684912 | Medicaid | TN | |
3984947 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | P636 (Tennessee) | Primary |
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