Individual
DR. SCOTT J SCOTILLA
Active
Individual
DR. SCOTT J SCOTILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD ICAADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
7050
PA
103T00000X
Psychologist
016799
NY
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PS016517
PA
103TB0200X
Cognitive & Behavioral Psychologist
PS016517
PA
103TC0700X
Clinical Psychologist
Primary
PS016517
PA
103TF0200X
Forensic Psychologist
PS016517
PA
Other
Enumeration date
04/19/2007
Last updated
01/10/2022
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