Doctor Name: | MS. DEBORAH SCOTT |
NPI Number: | 1467689356 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MH8135 |
Business Practice Address: | Lyster Health Clinic Bldg 301 Ft Rucker, AL - 363628900 |
Business Phone Number: | 3342557509 |
Business Fax Number: | |
Mailing Address: | Lyster Health Clinic, Bldg 301 FORT RUCKER |
State: | AL |
Postal Code: | 36362 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/17/2009 |
NPI Last Update Date: | 10/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH8135 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |