Provider Demographics
NPI:1942921754
Name:POHL, SCOTT (CPRS)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:POHL
Suffix:
Gender:M
Credentials:CPRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:590 MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08865-2629
Mailing Address - Country:US
Mailing Address - Phone:908-387-0004
Mailing Address - Fax:908-387-0005
Practice Address - Street 1:590 MARSHALL ST
Practice Address - Street 2:
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865-2629
Practice Address - Country:US
Practice Address - Phone:908-387-0004
Practice Address - Fax:908-387-0005
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty