Doctor Name: | MS. MARY SUE SCOTT |
NPI Number: | 1093705758 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NCC, LMFT, LPC |
License Number: | 0701001401 |
Business Practice Address: | 420 E Main St Suite B Wytheville, VA - 243822328 |
Business Phone Number: | 2762234443 |
Business Fax Number: | 2762230133 |
Mailing Address: | 420 E Main St, Suite B WYTHEVILLE |
State: | VA |
Postal Code: | 243822328 |
Phone Number: | 2762234443 |
Fax Number: | 2762230133 |
NPI Enumeration Date: | 10/25/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0701001401 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |