National Provider Identifier

Ivan Maurice Scott, BA

Ivan Maurice Scott, BA is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 882-2591.

NPI 1366528085Buffalo, NYMental Health Counselor

Profile Overview

NPI
1366528085
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
October 27, 2006
Last Updated
July 08, 2007

Practice Location

  • 923 Main St
  • Buffalo, NY 14203-1121

Phone: (716) 882-2591

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1366528085
Entity Type
Individual
Last Name
Scott
First Name
Ivan
Middle Name
Maurice
Name Prefix
Mr.
Credential
BA
Mailing Street Address
923 Main St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14203-1121
Mailing Country
US
Mailing Phone
(716) 882-2591
Practice Street Address
923 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1121
Practice Country
US
Practice Phone
(716) 882-2591
Enumeration Date
October 27, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)