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NPI Code Detail

MEDICARE: SCOTT ERIC ANGLIN LPC

MEDICARE: SCOTT ERIC ANGLIN LPC
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
1101YP2500XProfessional CounselorP0706027AR

General Provider Information

NPI Number : 1306875935
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT ERIC ANGLIN LPC
Provider Business Mailing Address
First Line : 2400 S 48TH ST
Second Line :
City : SPRINGDALE
State : AR
Zip : 72762-6683
Country : US
Telephone Number : 479-750-2020
Fax Number : 479-750-4843
Provider Business Practice Location Address
First Line : 827 W HARVARD ST
Second Line :
City : SILOAM SPRINGS
State : AR
Zip : 72761-4013
Country : US
Telephone Number : 479-549-3121
Fax Number : 479-750-4843
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 01/19/2017

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Directions to “ SCOTT ERIC ANGLIN LPC” Practice Location

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