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Organization

DAVID J BENDER PHD PC

Active
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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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