| Doctor Name: | MR. SCOTT A MAID |
| NPI Number: | 1134365794 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D., PLPC |
| License Number: | 2008036314 |
| Business Practice Address: | 302 E Wall St Harrisonville, MO - 647012490 |
| Business Phone Number: | 8168845777 |
| Business Fax Number: | 8168845778 |
| Mailing Address: | 302 E Wall St, HARRISONVILLE |
| State: | MO |
| Postal Code: | 647012490 |
| Phone Number: | 8168845777 |
| Fax Number: | 8168845778 |
| NPI Enumeration Date: | 12/31/2008 |
| NPI Last Update Date: | 04/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 2008036314 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |