Individual
DR. MARY H WANAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8134 COUNTRY VILLAGE DRIVE, SUITE 102, CORDOVA, TN 38018-2029
(901) 756-8398
(901) 756-8701
Mailing address
PO BOX 341065, BARTLETT, TN 38184-1065
(901) 385-2342
(901) 382-0140
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
TN
Other
Enumeration date
07/15/2006
Last updated
07/08/2007
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