Individual
DR. GARY WILLIAM CUNDIFF JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2000 STEIN DRIVE, CHATTANOOGA, TN 37421
(423) 648-8480
(423) 648-8481
Mailing address
P.O. BOX 24387, CHATTANOOGA, TN 37422
(423) 648-8480
(423) 648-8481
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P0000001508
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000724248B
—
GA
05
—
3683849
—
TN
Enumeration date
03/31/2006
Last updated
03/02/2023
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