Scott W Salon is a Clinical in Fort Wayne, Indiana. Scott W Salon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Scott W Salon is 1942209846. The last update date is 2013-04-15.
Scott W Salon's current location address is 2121 Lake Ave, Fort Wayne, Indiana. You can contact this provider via phone number 2604265431 and fax number 2604601481. The mailing address for Scott W Salon is 2121 Lake Ave, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott W Salon |
|---|---|
| Address | 2121 Lake Ave, Fort Wayne, Indiana |
| Phone Number | 2604265431 |
| Fax Number | 2604601481 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1942209846 |
|---|---|
| Provider Enumeration Date | 2005-07-21 |
| Last Updated Date | 2013-04-15 |
Provider Mailing Address Detail
| Address | 2121 Lake Ave |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468055100 |
| Phone Number | 2604265431 |
| Fax Number | 2604601481 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20010504A |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200082950 | IN | -- |
Post Comment/ Review Below
What is the Scott W Salon's 1942209846?
The Scott W Salon's NPI (National Provider Identifier) Number is 1942209846. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Scott W Salon's facilities are situated?
The facilities of Scott W Salon are physically located at the following address: 2121 Lake Ave, Fort Wayne, IN, 468055100.
What is the Scott W Salon's specialty and taxonomy code?
The Scott W Salon's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When did Scott W Salon receive its 1942209846 assignment?
The Scott W Salon was assigned its 1942209846 on 2005-07-21, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Scott W Salon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Scott W Salon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-04-15.