Kavanagh, Scott Paul

Kavanagh, Scott Paul is an sole proprietor health care provider with primary practice located at 4596 Brookhill Dr N , Manlius NY 13104-2403. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Kavanagh, Scott Paul can be contacted via phone (315) 415-8414.

Contact Information

Primary practice address
4596 Brookhill Dr N Manlius NY 13104-2403
Phone: (315) 415-8414
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 002869 New York
Behavioral Health & Social Service Providers / Pastoral 101YP1600X New York

Profile Details

NPI number 1538449285
LBN Legal business name Kavanagh, Scott Paul
Credentials D. MIN.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2011
Last updated Aug 25th, 2011 - about 13 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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