Fowler, Scott Matthew

Fowler, Scott Matthew is an sole proprietor health care provider with primary practice located at 780 Pilot House Dr Suite 100A, Newport News VA 23606-1993. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Fowler, Scott Matthew can be contacted via phone (757) 223-7821.

Contact Information

Primary practice address
780 Pilot House Dr Suite 100A Newport News VA 23606-1993
Phone: (757) 223-7821
Fax: (757) 223-9783
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701003208 Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717001125 Virginia

Profile Details

NPI number 1962415836
LBN Legal business name Fowler, Scott Matthew
Credentials LPC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962415836 NPPES
Virginia MEDICAID 010377731
Virginia MEDICAID 010370736

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