Provider Demographics
NPI:1447474937
Name:KAFOREY, GERALD RICHARD JR (PHD)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:RICHARD
Last Name:KAFOREY
Suffix:JR
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 MCLEAN CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7266
Mailing Address - Country:US
Mailing Address - Phone:615-400-0836
Mailing Address - Fax:615-771-0140
Practice Address - Street 1:241 MCLEAN CT
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-7266
Practice Address - Country:US
Practice Address - Phone:615-400-0836
Practice Address - Fax:615-771-0140
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN781101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health