Provider Demographics
NPI:1699145482
Name:SCOTT, MATTHEW (LPMFT)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:SCOTT
Suffix:
Gender:M
Credentials:LPMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 COURT ST
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13901-3515
Mailing Address - Country:US
Mailing Address - Phone:607-584-4465
Mailing Address - Fax:607-584-4480
Practice Address - Street 1:184 COURT ST
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13901-3515
Practice Address - Country:US
Practice Address - Phone:607-584-4465
Practice Address - Fax:607-584-4480
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-06
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist