Healthcare Provider Details

I. General information

NPI: 1558315549
Provider Name (Legal Business Name): GARRY S DEL CONTE PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2262 S GERMANTOWN RD
GERMANTOWN TN
38138-3805
US

IV. Provider business mailing address

2262 S GERMANTOWN RD
GERMANTOWN TN
38138-3805
US

V. Phone/Fax

Practice location:
  • Phone: 901-753-4300
  • Fax: 901-751-8105
Mailing address:
  • Phone: 901-753-4300
  • Fax: 901-751-8105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberP0000000880
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number880
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: