Provider Demographics
NPI:1508199878
Name:SPAW, SCOTT HUDSON (MA, LPC-S, LCCA)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:HUDSON
Last Name:SPAW
Suffix:
Gender:M
Credentials:MA, LPC-S, LCCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7719 WOOD HOLLOW DR STE 201
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-1634
Mailing Address - Country:US
Mailing Address - Phone:512-658-8385
Mailing Address - Fax:
Practice Address - Street 1:7719 WOOD HOLLOW DR STE 201
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-1634
Practice Address - Country:US
Practice Address - Phone:512-658-8385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-17
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63607101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional