Individual
DR. PETER J SCANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
37 BELMONT ST, SOUTH BAY, BROCKTON, MA 02301-5299
(508) 559-0473
(508) 584-2227
Mailing address
37 BELMONT ST, SOUTH BAY, BROCKTON, MA 02301-5299
(508) 559-0473
(508) 584-2227
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2620
MA
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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