MEDICARE: SCOTT EDWARD KALLATCH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1295664043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT EDWARD KALLATCH

Provider Business Mailing Address
First Line	:	475 ROEDER LN
Second Line	:
City	:	SELLERSVILLE
State	:	PA
Zip	:	18960-1256
Country	:	US
Telephone Number	:	267-932-9909
Fax Number	:

Provider Business Practice Location Address
First Line	:	528 MAIN ST
Second Line	:
City	:	HARLEYSVILLE
State	:	PA
Zip	:	19438-2266
Country	:	US
Telephone Number	:	267-932-9909
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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Directions to “ SCOTT EDWARD KALLATCH ” Practice Location

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