GARY R. SPEULDA


Address: 12168 Preserve Woods Ln, Arlington, TN 38002-4598
Phone: 6305251549

GARY R. SPEULDA (NPI# 1194827014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194827014
Entity Type Individual
Full Name GARY R. SPEULDA
Credential PSY.D.
Practice Address 12168 Preserve Woods Ln
Arlington
TN 38002-4598
Practice Telephone 6305251549
Mailing Telephone 6305251549
Enumeration Date 2006-09-01
Last Update Date 2020-02-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
071-004767 IL Behavioral Health & Social Service Providers

Office Location

Street Address 12168 PRESERVE WOODS LN
City ARLINGTON
State TN
Zip Code 38002-4598

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1437622073 David Roger Glass Jr. Psychologist 1655 Fort Myer Dr Ste 350, Arlington, VA 22209-3118 2019-01-07
1669944872 James Sexton Psychologist 2690 Clarendon Blvd, Arlington, VA 22201-3840 2018-12-28
1003385543 Tracy Ann Hoffman Psychologist 504 N Thomas St Apt B, Arlington, VA 22203-2488 2018-11-14
1275009235 Michael Gordon Thompson Psychologist 34 Robin Hood Rd, Arlington, MA 02474-1242 2018-10-17
1215430566 Brooke Lauren Mcginnis Psychologist 4401 Fairfax Dr Ste 205, Arlington, VA 22203-1622 2018-03-13
1336500354 Modesto Jesus Hevia I Psychologist 23 Rockmont Rd, Arlington, MA 02474-2928 2016-03-18
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Competitor

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City ARLINGTON
Zip Code 38002

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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