Individual
DR. GLENN GORDON GERALDS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1 NORTHGATE PARK, SUITE 201, CHATTANOOGA, TN 37415-6909
(423) 870-5647
(423) 870-5545
Mailing address
1 NORTHGATE PARK, SUITE 201, CHATTANOOGA, TN 37415-6909
(423) 870-5647
(423) 870-5545
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P0000000072
TN
103T00000X
Psychologist
PSY001658
GA
Other
Enumeration date
02/23/2006
Last updated
07/08/2007
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