Doctor Name: | DR. WILLIAM SCOTT CHASE |
NPI Number: | 1194080457 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | PS017120 |
Business Practice Address: | 203 Greenwood Ave Unit 1 Clarks Summit, PA - 184111409 |
Business Phone Number: | 5703196441 |
Business Fax Number: | 5704688895 |
Mailing Address: | 203 Greenwood Ave, Unit 1 CLARKS SUMMIT |
State: | PA |
Postal Code: | 184111409 |
Phone Number: | 5703196441 |
Fax Number: | 5704688895 |
NPI Enumeration Date: | 07/11/2012 |
NPI Last Update Date: | 02/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS017120 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |