Cundiff, Gary William

Cundiff, Gary William is an individual health care provider with primary practice located at 2000 Stein Drive , Chattanooga TN 37421. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Cundiff, Gary William can be contacted via phone (423) 648-8480.

Contact Information

Primary practice address
2000 Stein Drive Chattanooga TN 37421
Phone: (423) 648-8480
Fax: (423) 648-8481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X P0000001508 Tennessee

Profile Details

NPI number 1356302061
LBN Legal business name Cundiff, Gary William
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Mar 2nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356302061 NPPES
Tennessee MEDICAID 3683849
Tennessee MEDICAID 000724248B

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