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
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