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Individual

PHILLIP LEE BENDALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSPE/HSP

Contact information

Practice address
1997 HIGHWAY 51 S, COVINGTON, TN 38019-3630
(901) 476-8967
Mailing address
1997 HIGHWAY 51 S, COVINGTON, TN 38019-3630
(901) 476-8967

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PE0000011561
TN

Other

Enumeration date
10/16/2006
Last updated
01/10/2023
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