MEDICARE: DR. DEBORAH SCOTT PH.D.

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
1	103TC0700X	Clinical Psychologist		IL

General Provider Information

NPI Number	:	1154521417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBORAH SCOTT PH.D.

Provider Business Mailing Address
First Line	:	3047 N LINCOLN AVE
Second Line	:	SUITE 400
City	:	CHICAGO
State	:	IL
Zip	:	60657-4999
Country	:	US
Telephone Number	:	773-472-7646
Fax Number	:	773-883-1535

Provider Business Practice Location Address
First Line	:	3047 N LINCOLN AVE
Second Line	:	SUITE 400
City	:	CHICAGO
State	:	IL
Zip	:	60657-4999
Country	:	US
Telephone Number	:	773-472-7646
Fax Number	:	773-883-1535

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2007
Last Update Date	:	07/24/2007

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