MEDICARE: STEVEN ROBERT SCOTT L.P.C.

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	101YP2500X	Professional Counselor	18116	TX

General Provider Information

NPI Number	:	1508947847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN ROBERT SCOTT L.P.C.

Provider Business Mailing Address
First Line	:	5172 VILLAGE CREEK DR
Second Line	:	SUITE #101
City	:	PLANO
State	:	TX
Zip	:	75093-4445
Country	:	US
Telephone Number	:	972-380-1842
Fax Number	:	775-908-1038

Provider Business Practice Location Address
First Line	:	5172 VILLAGE CREEK DR
Second Line	:	SUITE #101
City	:	PLANO
State	:	TX
Zip	:	75093-4445
Country	:	US
Telephone Number	:	972-380-1842
Fax Number	:	775-908-1038

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	07/08/2007

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