Provider Demographics
NPI:1124164728
Name:SCANLON, ANIELA KATHRYN (MED, LPC)
Entity type:Individual
Prefix:MS
First Name:ANIELA
Middle Name:KATHRYN
Last Name:SCANLON
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 HOWARD ST STE 210
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323-2387
Mailing Address - Country:US
Mailing Address - Phone:814-432-2537
Mailing Address - Fax:814-432-2837
Practice Address - Street 1:191 HOWARD ST STE 210
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-2387
Practice Address - Country:US
Practice Address - Phone:814-432-2537
Practice Address - Fax:814-432-2837
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002722101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1844361OtherHIGHMARK