Healthcare Provider Details

I. General information

NPI: 1962327767
Provider Name (Legal Business Name): SCOTT LAWSON CROSS MA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8243 E CORTEZ DR
SCOTTSDALE AZ
85260-5669
US

IV. Provider business mailing address

8776 E SHEA BLVD STE 106-406
SCOTTSDALE AZ
85260-6629
US

V. Phone/Fax

Practice location:
  • Phone: 415-999-9984
  • Fax:
Mailing address:
  • Phone: 415-999-9984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLAC-08419T
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: