Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHALLIS MICHELLE GONDA
Active Sole ProprietorMRS. SHALLIS MICHELLE GONDA is a Community/Behavioral Health healthcare provider located in CORDOVA, Tennessee. NPI 1740580182 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · CORDOVA, TN
Registration Details
- NPI Number
- 1740580182
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 2, 2010 (15.813288017482 yrs)
- Last Updated
- Nov 2, 2010
- Sole Proprietor
- Yes
Practice Information
- Address
-
1155 CULLY RDCORDOVA, TN, 380188502Browse TN providers · Browse ZIP 38018
- Phone
- 9016242454
- Fax
- 9016242928
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.