Organization
WILLIAM R. GENTRY, JR., PH.D., P.C.
Active
Organization
WILLIAM R. GENTRY, JR., PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R. GENTRY JR. PH.,D. (OWNER)
(901) 754-9688
Entity
Organization
Contact information
Practice address
1922 EXETER RD, SUITE 7, GERMANTOWN, TN 38138-2949
(901) 754-9688
(901) 754-8630
Mailing address
1922 EXETER RD, SUITE 7, GERMANTOWN, TN 38138-2949
(901) 754-9688
(901) 754-8630
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P636
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3684912
—
TN
05
—
3984947
—
TN
Enumeration date
06/06/2007
Last updated
08/22/2020
Update your record
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