Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gary A. Wishart, Psy D , PLLC

Organization Psychologist · NPI 1780948950

Gary A. Wishart, Psy D , PLLC is a Psychologist in Bristol, Tennessee. Licensed in Tennessee. Registered with an NPI since 2012.

Licensed in
TN
In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

601 Volunteer Pkwy Ste G
Bristol, TN 37620-3653
Phone: (423) 652-2212
Fax: (423) 652-2212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence P0000001915 (TN)

Record details

NPI number1780948950
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Wishart — Owner · (423) 652-2212
NPI enumeratedJuly 2, 2012
Last updated in NPPESJuly 2, 2012
Mailing address601 Volunteer Pkwy, Suite G, Bristol, TN 37620-3653

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