Doctor Name: | MS. ELIZABETH MARIE SCANLAN |
NPI Number: | 1023178118 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MHC |
License Number: | 002317 |
Business Practice Address: | 21528 38th Ave Bayside, NY - 11361 |
Business Phone Number: | 7182298017 |
Business Fax Number: | |
Mailing Address: | 21528 38th Ave, BAYSIDE |
State: | NY |
Postal Code: | 11361 |
Phone Number: | 7182298017 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 002317 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |