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NPI Code Detail

MEDICARE: JAN W SCOTT PHD

MEDICARE: JAN W SCOTT PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor1755TX

General Provider Information

NPI Number : 1063833200
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAN W SCOTT PHD
Provider Business Mailing Address
First Line : PO BOX 550769
Second Line :
City : HOUSTON
State : TX
Zip : 77255-0769
Country : US
Telephone Number : 713-686-9194
Fax Number :
Provider Business Practice Location Address
First Line : 7787 PINEMONT DR STE B
Second Line :
City : HOUSTON
State : TX
Zip : 77040-6216
Country : US
Telephone Number : 713-686-9194
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2013
Last Update Date : 12/13/2013

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Directions to “ JAN W SCOTT PHD” Practice Location

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