Willoughby, Scott Garlon

Willoughby, Scott Garlon is an individual health care provider with primary practice located at 1 Lincoln Parkway Suite 202, Hattiesburg MS 39402. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Willoughby, Scott Garlon can be contacted via phone (601) 288-8050.

Contact Information

Primary practice address
1 Lincoln Parkway Suite 202 Hattiesburg MS 39402
Phone: (601) 288-8050
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 41003 Mississippi

Profile Details

NPI number 1699718635
LBN Legal business name Willoughby, Scott Garlon
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 8th, 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 1699718635 NPPES
Mississippi MEDICAID 02351545

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