Provider Demographics
NPI:1407588478
Name:SCALPCANE, AMY R
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:R
Last Name:SCALPCANE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 ANNA CIR APT B
Mailing Address - Street 2:
Mailing Address - City:BULLHEAD CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86442-6111
Mailing Address - Country:US
Mailing Address - Phone:928-514-4400
Mailing Address - Fax:
Practice Address - Street 1:317 ANNA CIR APT B
Practice Address - Street 2:
Practice Address - City:BULLHEAD CITY
Practice Address - State:AZ
Practice Address - Zip Code:86442-6111
Practice Address - Country:US
Practice Address - Phone:928-514-4400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker