Provider Demographics
NPI:1821336785
Name:WHALEN-SCHMELLER, BEVERLY JANE (PHD)
Entity Type:Individual
Prefix:MS
First Name:BEVERLY
Middle Name:JANE
Last Name:WHALEN-SCHMELLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 15TH AVE S
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-2414
Mailing Address - Country:US
Mailing Address - Phone:615-418-0982
Mailing Address - Fax:
Practice Address - Street 1:1010 15TH AVE S
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-2414
Practice Address - Country:US
Practice Address - Phone:615-418-0982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-27
Last Update Date:2013-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3137103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist