Doctor Name: | SETH SCOTT |
NPI Number: | 1073798450 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC |
License Number: | 001505 |
Business Practice Address: | 6047 Forest Hills Dr Asbury, IA - 520029318 |
Business Phone Number: | 5635647113 |
Business Fax Number: | |
Mailing Address: | 6047 Forest Hills Dr, ASBURY |
State: | IA |
Postal Code: | 520029318 |
Phone Number: | 5635647113 |
Fax Number: | |
NPI Enumeration Date: | 01/04/2008 |
NPI Last Update Date: | 11/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 001505 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |