Individual
DR. SCOTT ALAN FERNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 873-8314
Mailing address
645 OLD HICKORY BLVD APT 705, NASHVILLE, TN 37209-5259
(269) 352-7002
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3352
TN
Other
Enumeration date
08/14/2017
Last updated
08/22/2017
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