| Organization Name: | DAVID J BENDER PHD PC |
| NPI Number: | 1033216254 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID JOHN BENDER (PRESIDENT) |
| Mailing Address: | 296 Gamble Avenue Maryville |
| State: | TN US |
| Postal Code: | 378014943 |
| Phone Number: | 8659847567 |
| Fax Number: | 8659847567 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | P601 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |