| Doctor Name: | DR. SCOTT JOSEPH KREBS |
| NPI Number: | 1881625523 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 367 |
| Business Practice Address: | 2900 Doolittle Dr Ellsworth Afb, SD - 577064821 |
| Business Phone Number: | 6053853656 |
| Business Fax Number: | 6053852030 |
| Mailing Address: | 6416 Seminole Ln, RAPID CITY |
| State: | SD |
| Postal Code: | 577027003 |
| Phone Number: | 6054304154 |
| Fax Number: | |
| NPI Enumeration Date: | 07/05/2006 |
| NPI Last Update Date: | 06/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 367 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |