Individual
DR. CARL EDWARD GILLEYLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2010 EXETER RD, GERMANTOWN, TN 38138-2962
(901) 794-6852
Mailing address
6438 HAYFIELD CV, MEMPHIS, TN 38141-8312
(901) 794-6852
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P0000001918
TN
Other
Enumeration date
05/17/2007
Last updated
03/05/2013
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