Provider Demographics
NPI:1871177550
Name:NEWCOMB, SCOTT PATRICK (LPC)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:PATRICK
Last Name:NEWCOMB
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31900 UTICA RD
Mailing Address - Street 2:
Mailing Address - City:FRASER
Mailing Address - State:MI
Mailing Address - Zip Code:48026-2556
Mailing Address - Country:US
Mailing Address - Phone:586-218-5259
Mailing Address - Fax:586-541-2274
Practice Address - Street 1:31900 UTICA RD
Practice Address - Street 2:
Practice Address - City:FRASER
Practice Address - State:MI
Practice Address - Zip Code:48026-2556
Practice Address - Country:US
Practice Address - Phone:586-218-5259
Practice Address - Fax:586-541-2274
Is Sole Proprietor?:No
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401007805101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional