Doctor Name: | DAVID SCOTT ATKINS |
NPI Number: | 1689987794 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | LPC-4266 |
Business Practice Address: | 607 W Main St Grangeville, ID - 835301345 |
Business Phone Number: | 2089838590 |
Business Fax Number: | 2089838580 |
Mailing Address: | 607 W Main St, GRANGEVILLE |
State: | ID |
Postal Code: | 835301345 |
Phone Number: | 2089838590 |
Fax Number: | 2089838580 |
NPI Enumeration Date: | 07/18/2010 |
NPI Last Update Date: | 01/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC-4266 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |