Provider Demographics
NPI:1750837142
Name:GFELLER, SCOTT M (PHD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:M
Last Name:GFELLER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7025 N CHESTNUT AVE
Mailing Address - Street 2:ST 102
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-0351
Mailing Address - Country:US
Mailing Address - Phone:559-869-8339
Mailing Address - Fax:
Practice Address - Street 1:7025 N CHESTNUT AVE
Practice Address - Street 2:ST 102
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-0351
Practice Address - Country:US
Practice Address - Phone:559-840-1012
Practice Address - Fax:559-840-1070
Is Sole Proprietor?:No
Enumeration Date:2016-08-26
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist