Doctor Name: | DYLAN SCOTT MCFADDEN |
NPI Number: | 1154745180 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 271 Columbia Blvd Saint Helens, OR - 970512021 |
Business Phone Number: | 5033970391 |
Business Fax Number: | |
Mailing Address: | Po Box 1234, SAINT HELENS |
State: | OR |
Postal Code: | 970518234 |
Phone Number: | 5033975211 |
Fax Number: | |
NPI Enumeration Date: | 02/11/2014 |
NPI Last Update Date: | 05/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |