Geralds, Glenn Gordon

Geralds, Glenn Gordon is an individual health care provider with primary practice located at 1 Northgate Park Suite 201, Chattanooga TN 37415-6909. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Geralds, Glenn Gordon can be contacted via phone (423) 870-5647.

Contact Information

Primary practice address
1 Northgate Park Suite 201 Chattanooga TN 37415-6909
Phone: (423) 870-5647
Fax: (423) 870-5545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X P0000000072 Tennessee
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY001658 Georgia

Profile Details

NPI number 1912972738
LBN Legal business name Geralds, Glenn Gordon
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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