Doctor Name: | MS. BEVERLY JEAN SCOTT |
NPI Number: | 1023151289 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MFT |
License Number: | MFC32468 |
Business Practice Address: | 326 S Pacific Coast Hwy Suite 201 Redondo Beach, CA - 902773737 |
Business Phone Number: | 3105440166 |
Business Fax Number: | 3105444152 |
Mailing Address: | 2557 Via Carrillo, PALOS VERDES ESTATES |
State: | CA |
Postal Code: | 902742720 |
Phone Number: | 3105440166 |
Fax Number: | 3105444152 |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MFC32468 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |