Individual
DR. SCOTT VERNON MALON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
815 RIVERSIDE AVE APT 2, SANTA CRUZ, CA 95060-4534
(831) 426-3361
Mailing address
815 RIVERSIDE AVE APT 2, SANTA CRUZ, CA 95060-4534
(831) 426-3361
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY5560
CA
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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