Provider Demographics
NPI:1164723227
Name:SPREAT, SCOTT (EDD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:
Last Name:SPREAT
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 IMLAYSTOWN HIGHTSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08501-2011
Mailing Address - Country:US
Mailing Address - Phone:609-223-2203
Mailing Address - Fax:609-223-2204
Practice Address - Street 1:3 IMLAYSTOWN HIGHTSTOWN RD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08501-2011
Practice Address - Country:US
Practice Address - Phone:609-223-2203
Practice Address - Fax:609-223-2204
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-05
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003491L103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities