Provider Demographics
NPI:1023208717
Name:SCOTT, CALLIE MARIE (LPC)
Entity Type:Individual
Prefix:MS
First Name:CALLIE
Middle Name:MARIE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 MONTVIEW PL
Mailing Address - Street 2:
Mailing Address - City:WILKINSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15221-3011
Mailing Address - Country:US
Mailing Address - Phone:412-512-2524
Mailing Address - Fax:
Practice Address - Street 1:6545 HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-4145
Practice Address - Country:US
Practice Address - Phone:412-512-2524
Practice Address - Fax:412-368-9235
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-28
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004589101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional