Provider Demographics
NPI:1952586083
Name:SCOTT RENSCHLER PLLC
Entity Type:Organization
Organization Name:SCOTT RENSCHLER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ARNOLD
Authorized Official - Last Name:RENSCHLER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:206-632-2873
Mailing Address - Street 1:1429 N 45TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-6706
Mailing Address - Country:US
Mailing Address - Phone:206-632-2873
Mailing Address - Fax:206-632-7054
Practice Address - Street 1:1429 N 45TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6706
Practice Address - Country:US
Practice Address - Phone:206-632-2873
Practice Address - Fax:206-632-7054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00003662103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty