MEDICARE: SCOTT TOMEY LLC

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	103T00000X	Psychologist

General Provider Information

NPI Number	:	1437922184
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOTT TOMEY LLC

Provider Business Mailing Address
First Line	:	23332 FARMINGTON RD # 204
Second Line	:
City	:	FARMINGTON
State	:	MI
Zip	:	48336-9991
Country	:	US
Telephone Number	:	734-469-8705
Fax Number	:

Provider Business Practice Location Address
First Line	:	23332 FARMINGTON RD # 204
Second Line	:
City	:	FARMINGTON
State	:	MI
Zip	:	48336-9991
Country	:	US
Telephone Number	:	734-469-8705
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SCOTT S TOMEY
Credential	:	MS, LLP
Telephone Number	:	734-469-8705

Provider Enumeration Date	:	11/03/2023
Last Update Date	:	11/03/2023

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