MEDICARE: GERALD DEAN SCOTT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	10419	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528892981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERALD DEAN SCOTT

Provider Business Mailing Address
First Line	:	5784 N AFTON PKWY
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-1923
Country	:	US
Telephone Number	:	225-202-6992
Fax Number	:

Provider Business Practice Location Address
First Line	:	5784 N AFTON PKWY
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-1923
Country	:	US
Telephone Number	:	225-202-6992
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2024
Last Update Date	:	12/11/2025

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Directions to “ GERALD DEAN SCOTT ” Practice Location

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