Doctor Name: | SCOTT A CLARY |
NPI Number: | 1063796902 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS |
License Number: | |
Business Practice Address: | 2201 E State St Hermitage, PA - 161482727 |
Business Phone Number: | 7249817141 |
Business Fax Number: | 7249817763 |
Mailing Address: | 2201 E State St, HERMITAGE |
State: | PA |
Postal Code: | 161482727 |
Phone Number: | 7249817141 |
Fax Number: | 7249817763 |
NPI Enumeration Date: | 10/10/2011 |
NPI Last Update Date: | 10/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |