Provider Demographics
NPI:1679827075
Name:SCHELLER, ADAM (PHD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:
Last Name:SCHELLER
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 1:123 FIELD BROOK LN
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-5331
Mailing Address - Country:US
Mailing Address - Phone:724-502-4908
Mailing Address - Fax:
Practice Address - Street 1:301 CAMPMEETING RD
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-8773
Practice Address - Country:US
Practice Address - Phone:412-749-2880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-07
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017287103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist