Organization
BEACON PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT PEALE MOONEY PH.D. (PSYCHOLOGIST)
(315) 342-5941
Entity
Organization
Contact information
Practice address
317 W 1ST ST, SUITE 112, OSWEGO, NY 13126-3623
(315) 342-5941
(315) 343-2915
Mailing address
317 W 1ST ST, SUITE 112, OSWEGO, NY 13126-3623
(315) 342-5941
(315) 343-2915
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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