Gary Austin Wishart, PSYD

NPI #1982775821 in Bristol, Tennessee

Provider Information

NPI Number: 1982775821
Entity Type: Individual
Name: Gary Austin Wishart, PSYD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PSYD
Enumeration Date: Nov 13, 2006
Last Updated: Jan 26, 2012

Practice Location

Address: 601 VOLUNTEER PARKWAY
Address 2: SUITE G
City: Bristol
State: Tennessee
ZIP Code: 37620
Phone: (423) 652-2212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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Organizations

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