Individual
DAVID J BUMGARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2203 MCKINLEY RD, JOHNSON CITY, TN 37604
(423) 926-1171
Mailing address
PO BOX 4000, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
P0000003474
TN
Other
Enumeration date
12/23/2009
Last updated
06/20/2018
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