Healthcare Provider Details

I. General information

NPI: 1588584262
Provider Name (Legal Business Name): NATASHA CHRISTAL SCOTT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6525 CHRISSY DR
PINSON AL
35126-4128
US

IV. Provider business mailing address

6525 CHRISSY DR
PINSON AL
35126-4128
US

V. Phone/Fax

Practice location:
  • Phone: 917-284-7607
  • Fax:
Mailing address:
  • Phone: 917-284-7607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: