Provider Demographics
NPI:1073175592
Name:SHOLLENBARGER, SKYLER G (PHD)
Entity type:Individual
Prefix:DR
First Name:SKYLER
Middle Name:G
Last Name:SHOLLENBARGER
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 1:236 3RD AVE N
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-2539
Mailing Address - Country:US
Mailing Address - Phone:931-219-9778
Mailing Address - Fax:
Practice Address - Street 1:236 3RD AVE N
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-2539
Practice Address - Country:US
Practice Address - Phone:931-219-9778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-04
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3978103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty