Scott Garlon Willoughby in Hattiesburg - Clinical
Scott Garlon Willoughby - NPI 1699718635
Scott Garlon Willoughby is a Clinical in Hattiesburg, Mississippi. Scott Garlon Willoughby practices all healthcare services and medical treatments related to Clinical. The NPI Number for Scott Garlon Willoughby is 1699718635. The last update date is 2007-07-08.
Scott Garlon Willoughby's current location address is 1 Lincoln Parkway, Hattiesburg, Mississippi. You can contact this provider via phone number 6012888050. The mailing address for Scott Garlon Willoughby is 1 Lincoln Parkway, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Garlon Willoughby |
|---|---|
| Address | 1 Lincoln Parkway, Hattiesburg, Mississippi |
| Phone Number | 6012888050 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1699718635 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1 Lincoln Parkway |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 39402 |
| Phone Number | 6012888050 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 41003 |
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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 |
|---|---|---|---|
| 2351545 | MS | -- |
Post Comment/ Review Below
What is the Scott Garlon Willoughby's unique identification number?
The Scott Garlon Willoughby has been assigned the NPI (National Provider Identifier) Number 1699718635 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Scott Garlon Willoughby is geographically located?
The Scott Garlon Willoughby is physically situated at the following location: 1 Lincoln Parkway, Hattiesburg, MS, 39402.
What is the Scott Garlon Willoughby's specialty and taxonomy code?
The Scott Garlon Willoughby's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When was the Scott Garlon Willoughby's 1699718635 issued?
The Scott Garlon Willoughby's 1699718635 was issued on 2006-06-14.
When was the information pertaining to Scott Garlon Willoughby most recently updated or revised?
The details related to Scott Garlon Willoughby, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.