MEDICARE: MR. DONALD SCOTT M.S.

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	103TS0200X	School Psychologist	1072064	IN

General Provider Information

NPI Number	:	1407677917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DONALD SCOTT M.S.

Provider Business Mailing Address
First Line	:	976 N JENNIFER DR
Second Line	:
City	:	GREENFIELD
State	:	IN
Zip	:	46140-9546
Country	:	US
Telephone Number	:	317-675-7750
Fax Number	:

Provider Business Practice Location Address
First Line	:	2533 N 700 W
Second Line	:
City	:	ARLINGTON
State	:	IN
Zip	:	46104-9410
Country	:	US
Telephone Number	:	765-663-2416
Fax Number	:

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

Provider Enumeration Date	:	10/18/2024
Last Update Date	:	10/18/2024

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Directions to “ MR. DONALD SCOTT M.S.” Practice Location

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