NPI | 1316154479 |
---|---|
Professional Name | PHIL SCOVILLE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 6370628-3902) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 6370628-3904) |
106H00000X Marriage & Family Therapist (Licence: CA 49906) | |
Enumeration Date | 2007-05-17 |
Last Update Date | 2021-08-24 |