Healthcare Provider Details

I. General information

NPI: 1942786355
Provider Name (Legal Business Name): JULIE ANNE SCOTT MS, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2018
Last Update Date: 07/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N52W14104 ABERDEEN DR
MENOMONEE FALLS WI
53051-6828
US

IV. Provider business mailing address

N52W14104 ABERDEEN DR
MENOMONEE FALLS WI
53051-6828
US

V. Phone/Fax

Practice location:
  • Phone: 608-790-1206
  • Fax:
Mailing address:
  • Phone: 608-790-1206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: