Doctor Name: | AMY M SCROGGIN |
NPI Number: | 1215225867 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | T-0139901 |
Business Practice Address: | 1700 W Main St Ste A2 Artesia, NM - 882103711 |
Business Phone Number: | 5757468890 |
Business Fax Number: | 5757462383 |
Mailing Address: | 914 N Canal St, CARLSBAD |
State: | NM |
Postal Code: | 882205110 |
Phone Number: | 5758854836 |
Fax Number: | 5758879579 |
NPI Enumeration Date: | 07/18/2011 |
NPI Last Update Date: | 07/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | T-0139901 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |