DR. Scott Paul Kavanagh, D. MIN.

NPI #1538449285 in Manlius, New York

Provider Information

NPI Number: 1538449285
Entity Type: Individual
Name: DR. Scott Paul Kavanagh, D. MIN.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: D. MIN.
Enumeration Date: Aug 25, 2011
Last Updated: Aug 25, 2011

Practice Location

Address: 4596 BROOKHILL DR N
City: Manlius
State: New York
ZIP Code: 13104-2403
Phone: (315) 415-8414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Counselor - Pastoral — Pastoral	101YP1600X

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