Doctor Name: | MS. DAWN ANGELEN SCOVEL |
NPI Number: | 1366652653 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 559 Vincent St Attn: 21mdos/sgoh Colorado Springs, CO - 809141541 |
Business Phone Number: | 7195567804 |
Business Fax Number: | 7195567399 |
Mailing Address: | 559 Vincent St, Attn: 21mdos/sgoh PETERSON AFB |
State: | CO |
Postal Code: | 80914 |
Phone Number: | 7195567804 |
Fax Number: | 7195567399 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 10/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |