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NPI Code Detail

MEDICARE: SCOTT E. PERSINGER LCSW

MEDICARE:   SCOTT E. PERSINGER  LCSW
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
11041C0700XClinical Social Worker15745TX

General Provider Information

NPI Number : 1922054683
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT E. PERSINGER LCSW
Provider Business Mailing Address
First Line : 6835 BROOKFIELD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78238-3006
Country : US
Telephone Number : 210-430-5390
Fax Number : 210-265-3001
Provider Business Practice Location Address
First Line : 2424 BABCOCK RD
Second Line : STE 100
City : SAN ANTONIO
State : TX
Zip : 78229-6031
Country : US
Telephone Number : 210-430-5390
Fax Number : 210-265-3001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 07/08/2007

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Directions to “ SCOTT E. PERSINGER LCSW” Practice Location

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