Provider Demographics
NPI:1386932440
Name:GASKINS, SCOTT JAMES (LPC)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:JAMES
Last Name:GASKINS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 LINE ST
Mailing Address - Street 2:
Mailing Address - City:MINERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17954-1514
Mailing Address - Country:US
Mailing Address - Phone:570-527-8558
Mailing Address - Fax:
Practice Address - Street 1:350 LINE ST
Practice Address - Street 2:
Practice Address - City:MINERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17954-1514
Practice Address - Country:US
Practice Address - Phone:570-527-8558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-11
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005933101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional