| Doctor Name: | DR. DAVID D CORDRY |
| NPI Number: | 1396726956 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 1251 |
| Business Practice Address: | 5955 Zeamer Ave 673 Mdg Jber, AK - 99506 |
| Business Phone Number: | 9075800014 |
| Business Fax Number: | |
| Mailing Address: | 5955 Zeamer Avenue, 673 Mdg JBER |
| State: | AK |
| Postal Code: | 99506 |
| Phone Number: | 9075800014 |
| Fax Number: | |
| NPI Enumeration Date: | 11/10/2005 |
| NPI Last Update Date: | 11/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1251 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |