Provider Demographics
NPI:1780118653
Name:SCAFFA, MARJORIE ELIZABETH (PHD)
Entity type:Individual
Prefix:DR
First Name:MARJORIE
Middle Name:ELIZABETH
Last Name:SCAFFA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
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Mailing Address - Street 1:1851 N MCKENZIE ST STE 101
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-4703
Mailing Address - Country:US
Mailing Address - Phone:251-434-1232
Mailing Address - Fax:251-424-1954
Practice Address - Street 1:1851 N MCKENZIE ST STE 101
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-4703
Practice Address - Country:US
Practice Address - Phone:251-424-1232
Practice Address - Fax:251-424-1954
Is Sole Proprietor?:No
Enumeration Date:2017-04-17
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALC2696A101YM0800X
AL1284225XM0800X
ALLPC04484101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225XM0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistMental Health