Doctor Name: | DR. SCOTT HINCKLEY CRAVEN |
NPI Number: | 1790794550 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.D.S. |
License Number: | 323051-6009 |
Business Practice Address: | 2201 N 400 E North Ogden, UT - 844147210 |
Business Phone Number: | 8017826681 |
Business Fax Number: | 8017860539 |
Mailing Address: | 2201 N 400 E, NORTH OGDEN |
State: | UT |
Postal Code: | 844147210 |
Phone Number: | 8017826681 |
Fax Number: | 8017860539 |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 04/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 323051-6009 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |