| Doctor Name: | THOMAS E. GETTELMAN |
| NPI Number: | 1205861002 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 1854 |
| Business Practice Address: | 16740 Davidson Concord Rd Suite 200 Davidson, NC - 280368746 |
| Business Phone Number: | 7048019200 |
| Business Fax Number: | 7048019201 |
| Mailing Address: | Po Box 601372, CHARLOTTE |
| State: | NC |
| Postal Code: | 282601372 |
| Phone Number: | 7048019200 |
| Fax Number: | 7048019201 |
| NPI Enumeration Date: | 07/11/2006 |
| NPI Last Update Date: | 05/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1854 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |