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NPI Code Detail

MEDICARE: DR. GEORGE SCOTT III PHD

MEDICARE:  DR. GEORGE  SCOTT III PHD
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
1103TH0004XHealth Psychologist39962TX
2103G00000XClinical Neuropsychologist39962TX
3103TR0400XRehabilitation Psychologist39962TX

General Provider Information

NPI Number : 1538944863
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE SCOTT III PHD
Provider Business Mailing Address
First Line : 2415 WYCKCHESTER DR
Second Line :
City : PEARLAND
State : TX
Zip : 77584-5968
Country : US
Telephone Number : 832-270-9646
Fax Number :
Provider Business Practice Location Address
First Line : 24 GREENWAY PLZ STE 1800
Second Line :
City : HOUSTON
State : TX
Zip : 77046-2457
Country : US
Telephone Number : 832-264-4454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2023
Last Update Date : 10/16/2025

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Directions to “ DR. GEORGE SCOTT III PHD” Practice Location

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