Provider Demographics
NPI:1407991516
Name:SCALIA, JOSEPH III (MED, NCPSYA, LPC)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:SCALIA
Suffix:III
Gender:M
Credentials:MED, NCPSYA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 W MAIN ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-5016
Mailing Address - Country:US
Mailing Address - Phone:406-586-0870
Mailing Address - Fax:
Practice Address - Street 1:105 W MAIN ST
Practice Address - Street 2:SUITE F
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-5016
Practice Address - Country:US
Practice Address - Phone:406-586-0870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT123101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional