Provider Demographics
NPI:1801077011
Name:ABRAMS, SCOTT (PHD)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:ABRAMS
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 470424
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE VILLAGE
Mailing Address - State:MA
Mailing Address - Zip Code:02447-0424
Mailing Address - Country:US
Mailing Address - Phone:408-202-1171
Mailing Address - Fax:
Practice Address - Street 1:18 VILLAGE ROW
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:PA
Practice Address - Zip Code:18938-1061
Practice Address - Country:US
Practice Address - Phone:408-202-1171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-15
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPSY10000023103TC0700X
PAPS016327103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical