| Doctor Name: | DR. SCOTT RICHARD MARRS |
| NPI Number: | 1194797928 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D |
| License Number: | 1527 |
| Business Practice Address: | 2050 2nd St Se Kirtland Afb, NM - 871175524 |
| Business Phone Number: | 5058462605 |
| Business Fax Number: | |
| Mailing Address: | 7155 Marseille Pl Ne, ALBUQUERQUE |
| State: | NM |
| Postal Code: | 871223329 |
| Phone Number: | 5058280274 |
| Fax Number: | |
| NPI Enumeration Date: | 02/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1527 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |