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NPI Code Detail

MEDICARE: DR. BRENDA ELAINE SCOTT PH.D.

MEDICARE: DR. BRENDA ELAINE SCOTT PH.D.
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
1103TC0700XClinical Psychologist0810002563VA

General Provider Information

NPI Number : 1760424618
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRENDA ELAINE SCOTT PH.D.
Provider Business Mailing Address
First Line : 1201 BROAD ROCK BLVD
Second Line :
City : RICHMOND
State : VA
Zip : 23249-0002
Country : US
Telephone Number : 804-675-5000
Fax Number :
Provider Business Practice Location Address
First Line : 1201 BROAD ROCK BLVD
Second Line :
City : RICHMOND
State : VA
Zip : 23249-0002
Country : US
Telephone Number : 804-675-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 06/17/2014

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