| Dr. Mary Wanat Pllc | |
|
8820 Trinity Rd Ste 200 Cordova TN 38018-2735 | |
| (901) 385-2342 | |
| (901) 382-0140 |
| Full Name | Dr. Mary Wanat Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 8820 Trinity Rd Ste 200, Cordova, Tennessee |
| Authorized Official Name and Position | Mary Wanat (OWNER) |
| Authorized Official Contact | 9017568398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Mary Wanat Pllc 8820 Trinity Rd Ste 200 Cordova TN 38018-2735 Ph: (901) 385-2342 | Dr. Mary Wanat Pllc 8820 Trinity Rd Ste 200 Cordova TN 38018-2735 Ph: (901) 385-2342 |
| NPI Number | 1447698568 |
|---|---|
| Provider Enumeration Date | 06/11/2013 |
| Last Update Date | 06/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447698568 | NPI | - | NPPES |
| 3064204 | Other | TN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | P2041 (Tennessee) | Primary |
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