Dr Glenn Gordon Geralds, PHD - Psychologist in Chattanooga, TN

Dr Glenn Gordon Geralds, PHD is a Psychologist based in Chattanooga, Tennessee. Dr Glenn Gordon Geralds is licensed to practice in Tennessee (license number P0000000072) and his current practice location is 1 Northgate Park, Suite 201, Chattanooga, Tennessee. He can be reached at his office (for appointments etc.) via phone at (423) 870-5647.

NPI number for Dr Glenn Gordon Geralds is 1912972738 and his current mailing address is 1 Northgate Park, Suite 201, Chattanooga, Tennessee. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912972738.

Contact Information

Dr Glenn Gordon Geralds, PHD
1 Northgate Park, Suite 201,
Chattanooga, TN 37415-6909
(423) 870-5647
(423) 870-5545

Map and Direction




Healthcare Provider's Profile

Full NameDr Glenn Gordon Geralds
GenderMale
SpecialityPsychologist
Location1 Northgate Park, Chattanooga, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912972738
  • Provider Enumeration Date: 02/23/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Glenn Gordon Geralds such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912972738NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist P0000000072 (Tennessee)Primary
103T00000XPsychologist PSY001658 (Georgia)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Glenn Gordon Geralds is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Glenn Gordon Geralds, PHD
1 Northgate Park, Suite 201,
Chattanooga, TN 37415-6909

Ph: (423) 870-5647
Dr Glenn Gordon Geralds, PHD
1 Northgate Park, Suite 201,
Chattanooga, TN 37415-6909

Ph: (423) 870-5647

Reviews and Comments


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