Provider Demographics
NPI:1598284929
Name:MCALLISTER, SCOTT J SR
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:J
Last Name:MCALLISTER
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 N MAIN ST BLDG 9A
Mailing Address - Street 2:
Mailing Address - City:LEEDS
Mailing Address - State:MA
Mailing Address - Zip Code:01053-9796
Mailing Address - Country:US
Mailing Address - Phone:614-634-6839
Mailing Address - Fax:
Practice Address - Street 1:425 N MAIN ST BLDG 9A
Practice Address - Street 2:
Practice Address - City:LEEDS
Practice Address - State:MA
Practice Address - Zip Code:01053-9796
Practice Address - Country:US
Practice Address - Phone:413-949-2320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical