| Doctor Name: | MR. SCOTT THOMAS BLEAKLEY |
| NPI Number: | 1013072008 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LICSW |
| License Number: | 111295 |
| Business Practice Address: | 163 Water Street Exeter, NH - 03833 |
| Business Phone Number: | 6037721228 |
| Business Fax Number: | 6037782770 |
| Mailing Address: | 28 Ladd Road, BRENTWOOD |
| State: | NH |
| Postal Code: | 03833 |
| Phone Number: | 6033471119 |
| Fax Number: | 6037782770 |
| NPI Enumeration Date: | 12/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 111295 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |