Provider Demographics
NPI:1437521952
Name:SCOTT W. WOERNER, PH.D.
Entity Type:Organization
Organization Name:SCOTT W. WOERNER, PH.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:W
Authorized Official - Last Name:WOERNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:908-377-9574
Mailing Address - Street 1:2687 CREST LN
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-1513
Mailing Address - Country:US
Mailing Address - Phone:908-377-9574
Mailing Address - Fax:
Practice Address - Street 1:185 BROAD ST
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-2605
Practice Address - Country:US
Practice Address - Phone:908-377-0574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-23
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI0054900261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health