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Contact Information

SCOTT DEATHERAGE, PHD
1580 OH-56
LONDON, OH43140
 Phone: 740-852-2454
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SCOTT DEATHERAGE · (Male)

NPI Number 1134679459
Status Active
Credentials PHD
Entity Individual
Enumeration date 10/11/2016
Last updated 06/30/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OH License # P.07981
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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