Provider Demographics
NPI:1720550437
Name:SCOTT, SHANNON CAROLINE (MS, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:SHANNON
Middle Name:CAROLINE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5916 HOWE ST APT C2
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-2830
Mailing Address - Country:US
Mailing Address - Phone:412-849-9371
Mailing Address - Fax:
Practice Address - Street 1:850 BOYCE RD STE 9
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-1541
Practice Address - Country:US
Practice Address - Phone:412-254-8155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-19
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA010953101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional