Provider Demographics
NPI:1649530692
Name:SCOGGAN, RINDA JOAN (PCC-S)
Entity type:Individual
Prefix:MS
First Name:RINDA
Middle Name:JOAN
Last Name:SCOGGAN
Suffix:
Gender:F
Credentials:PCC-S
Other - Prefix:MS
Other - First Name:RINDA
Other - Middle Name:JOAN
Other - Last Name:GOULD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PCC-S
Mailing Address - Street 1:3541 GLAZIER ROAD
Mailing Address - Street 2:
Mailing Address - City:GUYSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45735
Mailing Address - Country:US
Mailing Address - Phone:740-592-3091
Mailing Address - Fax:304-485-4466
Practice Address - Street 1:3 W STIMSON AVE
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701
Practice Address - Country:US
Practice Address - Phone:740-592-3091
Practice Address - Fax:304-485-4466
Is Sole Proprietor?:No
Enumeration Date:2012-05-24
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0900406101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional