Doctor Name: | MR. ROBERT L SCOTT |
NPI Number: | 1174781637 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., L.C.D.C. |
License Number: | 8490 |
Business Practice Address: | 1150 Devereux Dr League City, TX - 775732043 |
Business Phone Number: | 2813351000 |
Business Fax Number: | 2813165498 |
Mailing Address: | 1150 Devereux Dr, LEAGUE CITY |
State: | TX |
Postal Code: | 775732043 |
Phone Number: | 2813351000 |
Fax Number: | 2813165498 |
NPI Enumeration Date: | 05/30/2008 |
NPI Last Update Date: | 05/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 8490 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |