| William R. Gentry, Jr., Ph.d., P.c. | |
|
1922 Exeter Rd Suite 7 Germantown TN 38138-2949 | |
| (901) 754-9688 | |
| (901) 754-8630 |
| Full Name | William R. Gentry, Jr., Ph.d., P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1922 Exeter Rd, Germantown, Tennessee |
| Authorized Official Name and Position | William R. Gentry (OWNER) |
| Authorized Official Contact | 9017549688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William R. Gentry, Jr., Ph.d., P.c. 1922 Exeter Rd Suite 7 Germantown TN 38138-2949 Ph: (901) 754-9688 | William R. Gentry, Jr., Ph.d., P.c. 1922 Exeter Rd Suite 7 Germantown TN 38138-2949 Ph: (901) 754-9688 |
| NPI Number | 1669675898 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669675898 | NPI | - | NPPES |
| 3684912 | Medicaid | TN | |
| 3984947 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | P636 (Tennessee) | Primary |
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