Individual
WILLIAM CLARK SCURRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
625 3RD AVE NW, FARIBAULT, MN 55021-4275
(507) 334-2892
(507) 332-6947
Mailing address
625 3RD AVE NW, FARIBAULT, MN 55021-4275
(507) 334-2892
(507) 332-6947
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0645
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016738
BHP
MN
01
—
122679
U-CARE
MN
01
—
34304SC
BCBS
MN
01
—
48Q29SC
BHSI
MN
01
—
HP37271
HEALTHPARTNERS
MN
Enumeration date
02/08/2007
Last updated
07/08/2007
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