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Individual

DAVID J. BENDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
296 GAMBLE AVENUE, MARYVILLE, TN 37801-4943
(865) 984-7567
(865) 984-7567
Mailing address
296 GAMBLE AVENUE, MARYVILLE, TN 37801-4943
(865) 984-7567
(865) 984-7567

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P-601
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3681811
TN
Enumeration date
08/29/2006
Last updated
12/10/2007
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