Provider Demographics
NPI:1356947543
Name:GARNETT, SCOTT N (CRSW)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:N
Last Name:GARNETT
Suffix:
Gender:M
Credentials:CRSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 FAIRFIELD DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03842-1155
Mailing Address - Country:US
Mailing Address - Phone:603-969-7657
Mailing Address - Fax:
Practice Address - Street 1:155 BREWERY LN STE 102
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4995
Practice Address - Country:US
Practice Address - Phone:603-812-9031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health