Provider Demographics
NPI:1215554233
Name:REIMAN, SCOTT T (M DIV CADC)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:T
Last Name:REIMAN
Suffix:
Gender:M
Credentials:M DIV CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1224 WHITEHALL AVE
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-5621
Mailing Address - Country:US
Mailing Address - Phone:717-250-1984
Mailing Address - Fax:
Practice Address - Street 1:1224 WHITEHALL AVE
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-5621
Practice Address - Country:US
Practice Address - Phone:717-250-1984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-26
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)