Doctor Name: | MR. SCOTT PETER LEGRAND |
NPI Number: | 1124249974 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | SW 6663 |
Business Practice Address: | 2180 Snowhill Road Chuluota, FL - 32766 |
Business Phone Number: | 4079770336 |
Business Fax Number: | 4079770252 |
Mailing Address: | 1016 Rivecon Ave, ORLANDO |
State: | FL |
Postal Code: | 32825 |
Phone Number: | 4074670181 |
Fax Number: | 4079770252 |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW 6663 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |