Healthcare Provider Details

I. General information

NPI: 1396078218
Provider Name (Legal Business Name): DOROTHY SUE SCOFF PH.D, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2009
Last Update Date: 09/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1485 TREAT BLVD SUITE 203B
WALNUT CREEK CA
94597-7995
US

IV. Provider business mailing address

1485 TREAT BLVD SUITE 203B
WALNUT CREEK CA
94597-7995
US

V. Phone/Fax

Practice location:
  • Phone: 925-942-0733
  • Fax: 925-942-0735
Mailing address:
  • Phone: 925-942-0733
  • Fax: 925-942-0735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number21842
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: