Doctor Name: | MARILYN C SCOTT |
NPI Number: | 1194066019 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D |
License Number: | |
Business Practice Address: | 18505 Meadow Ln. Hazel Crest, IL - 60429 |
Business Phone Number: | 7083800253 |
Business Fax Number: | |
Mailing Address: | P.o. Box 1094, HOMEWOOD |
State: | IL |
Postal Code: | 60430 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/04/2013 |
NPI Last Update Date: | 03/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |