Provider Demographics
NPI:1548635139
Name:SCOTT-ANTHONY, MOLLY (PSYD)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:SCOTT-ANTHONY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:623 CENTER AVE # 100
Mailing Address - Street 2:
Mailing Address - City:WEST VIEW
Mailing Address - State:PA
Mailing Address - Zip Code:15229-1809
Mailing Address - Country:US
Mailing Address - Phone:412-713-1565
Mailing Address - Fax:
Practice Address - Street 1:623 CENTER AVE # 100
Practice Address - Street 2:
Practice Address - City:WEST VIEW
Practice Address - State:PA
Practice Address - Zip Code:15229-1809
Practice Address - Country:US
Practice Address - Phone:412-713-1565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-08
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017964251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health