Provider Demographics
NPI:1386029718
Name:SCHOLFIELD, THERESA
Entity Type:Individual
Prefix:DR
First Name:THERESA
Middle Name:
Last Name:SCHOLFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4012 CARLINSWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-4775
Mailing Address - Country:US
Mailing Address - Phone:404-988-2421
Mailing Address - Fax:
Practice Address - Street 1:4012 CARLINSWOOD WAY
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-4775
Practice Address - Country:US
Practice Address - Phone:404-988-2421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist