Gary Austin Wishart in Bristol - Clinical
Gary Austin Wishart - NPI 1982775821
Gary Austin Wishart is a Clinical in Bristol, Tennessee. Gary Austin Wishart practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gary Austin Wishart is 1982775821. The last update date is 2012-01-26.
Gary Austin Wishart's current location address is 601 Volunteer Parkway, Bristol, Tennessee. You can contact this provider via phone number 4236522212 and fax number 4236522212. The mailing address for Gary Austin Wishart is 601 Volunteer Parkway, Bristol, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Austin Wishart |
|---|---|
| Address | 601 Volunteer Parkway, Bristol, Tennessee |
| Phone Number | 4236522212 |
| Fax Number | 4236522212 |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1982775821 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2012-01-26 |
Provider Mailing Address Detail
| Address | 601 Volunteer Parkway |
|---|---|
| City | Bristol |
| State | Tennessee (TN) |
| Post Code | 37620 |
| Phone Number | 4236522212 |
| Fax Number | 4236522212 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | P0000001915 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 85256 | VA | ANTHEM BCBS OF VA | |
| 242191000 | TN | MAGELLAN | |
| 4098126 | TN | BCBS OF TN MEDICAL | |
| 621618739 | TN | AARP | |
| 621618739 | TN | UNITED BEHAVIORAL HEALTH | |
| 621618739 | TN | CIGNA | |
| 621618739 | TN | UNITED HEALTHCARE | |
| 621618739 | TN | TRICARE | |
| 621618739 | TN | HORIZON HEALTH | |
| 181971 | TN | BCBS OF TN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gary Austin Wishart by the Centers for Medicare & Medicaid Services?
The Gary Austin Wishart has been assigned the NPI (National Provider Identifier) 1982775821 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Gary Austin Wishart's physical address?
The Gary Austin Wishart is physically located at 601 Volunteer Parkway, in the city of Bristol, TN, with the postal code 37620.
What is the Gary Austin Wishart's area of specialization and corresponding taxonomy classification?
The Gary Austin Wishart's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
When did the Gary Austin Wishart receive its 1982775821?
The Gary Austin Wishart was issued its 1982775821 on 2006-11-13, which is the date when the organization was assigned this unique identifier.
When was the Gary Austin Wishart's information last updated?
The Gary Austin Wishart's information was last updated on 2012-01-26.