Healthcare Provider Details

I. General information

NPI: 1760345516
Provider Name (Legal Business Name): ANNA SCHOLLENBERGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 MARY ST
EVANSVILLE IN
47710-1658
US

IV. Provider business mailing address

808 N ALVORD BLVD
EVANSVILLE IN
47711-5302
US

V. Phone/Fax

Practice location:
  • Phone: 812-450-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number31008585A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: