| NPI | 1407967813 |
|---|---|
| Former Name | FREDERICK C SCOVEL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY2484) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 2711) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-25 |