Organization
DAVID J BENDER PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JOHN BENDER PHD (PRESIDENT)
(865) 984-7567
Entity
Organization
Contact information
Practice address
296 GAMBLE AVENUE, MARYVILLE, TN 37801-4943
(865) 984-7567
(865) 984-7567
Mailing address
296 GAMBLE AVENUE, MARYVILLE, TN 37801-4943
(865) 984-7567
(865) 984-7567
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P601
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3681811
—
TN
Enumeration date
09/20/2006
Last updated
08/22/2020
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