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NPI 1407661887

NPI 1407661887 : SCOUT SAVOY PHD : BRYAN, TX

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General NPI Number Information
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    NPI Number           |    1407661887
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    Entity Type          |    Individual 
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    Provider Name        |    SCOUT SAVOY PHD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/11/2025
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    Last Update Date     |    02/11/2025
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Provider Practice Location Address
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    Address Line         |    2490 BOONVILLE RD 
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    City                 |    BRYAN
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    State                |    TX
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    Zip                  |    77808-2326
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    Country              |    US
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    Telephone            |    979-703-1808
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3902 BROWNWAY CT 
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    City                 |    COLLEGE STATION
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    State                |    TX
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    Zip                  |    77845-2208
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    Country              |    US
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    Telephone            |    225-439-8439
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TS0200X
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    Taxonomy Name        |    School Psychologist
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    License Number       |    40429
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    License Number State |    TX
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