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NPI Code Detail

MEDICARE: MS. DIANE ELAINE MITCHELL-SCOTT PLPC

MEDICARE:  MS. DIANE ELAINE MITCHELL-SCOTT  PLPC
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 Counselor2008032129MO

General Provider Information

NPI Number : 1316173305
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DIANE ELAINE MITCHELL-SCOTT PLPC
Provider Business Mailing Address
First Line : 939 GARDENVIEW OFFICE PKWY
Second Line :
City : CREVE COEUR
State : MO
Zip : 63141-5917
Country : US
Telephone Number : 636-724-5956
Fax Number :
Provider Business Practice Location Address
First Line : 939 GARDENVIEW OFFICE PKWY
Second Line :
City : CREVE COEUR
State : MO
Zip : 63141-5917
Country : US
Telephone Number : 636-724-5956
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2009
Last Update Date : 06/03/2009

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Directions to “ MS. DIANE ELAINE MITCHELL-SCOTT PLPC” Practice Location

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