MEDICARE: MR. SCOTT B BARNTHOUSE

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	1041C0700X	Clinical Social Worker	Q10000394	DE

General Provider Information

NPI Number	:	1528246113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SCOTT B BARNTHOUSE

Provider Business Mailing Address
First Line	:	201 POSSUM PARK RD
Second Line	:	SUITE 10
City	:	NEWARK
State	:	DE
Zip	:	19711-3831
Country	:	US
Telephone Number	:	302-737-7880
Fax Number	:	302-737-8839

Provider Business Practice Location Address
First Line	:	201 POSSUM PARK RD
Second Line	:	SUITE 10
City	:	NEWARK
State	:	DE
Zip	:	19711-3831
Country	:	US
Telephone Number	:	302-737-7880
Fax Number	:	302-737-8839

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

Provider Enumeration Date	:	02/05/2008
Last Update Date	:	02/05/2008

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Directions to “ MR. SCOTT B BARNTHOUSE ” Practice Location

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