Healthcare Provider Details

I. General information

NPI: 1699895946
Provider Name (Legal Business Name): GERALDINE SCHELLER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GERALDINE SCHELLER GILKEY PHD

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 CUMBERLAND BEND
NASHVILLE TN
37228
US

IV. Provider business mailing address

275 CUMBERLAND BEND
NASHVILLE TN
37228
US

V. Phone/Fax

Practice location:
  • Phone: 615-743-1535
  • Fax: 615-743-1680
Mailing address:
  • Phone: 615-743-1535
  • Fax: 615-743-1680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLSW0000004646
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: