Doctor Name: | DR. SCOTT J SYMES |
NPI Number: | 1063496487 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | 2004013232 |
Business Practice Address: | 3367 Ne Ralph Powell Rd Lees Summit, MO - 640642368 |
Business Phone Number: | 8162460111 |
Business Fax Number: | 8663357993 |
Mailing Address: | 3367 Ne Ralph Powell Rd, LEES SUMMIT |
State: | MO |
Postal Code: | 640642368 |
Phone Number: | 8162460111 |
Fax Number: | 8663357993 |
NPI Enumeration Date: | 11/30/2005 |
NPI Last Update Date: | 12/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 2004013232 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |