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NPI Code Detail

MEDICARE: MRS. JODY SHOTWELL SCOTT LMFT,CAP

MEDICARE: MRS. JODY SHOTWELL SCOTT LMFT,CAP
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
1106H00000XMarriage & Family TherapistMT447FL

General Provider Information

NPI Number : 1770622581
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JODY SHOTWELL SCOTT LMFT,CAP
Provider Business Mailing Address
First Line : 100 COLUMBIA ST
Second Line :
City : ORLANDO
State : FL
Zip : 32806-1006
Country : US
Telephone Number : 407-245-0014
Fax Number : 407-245-0015
Provider Business Practice Location Address
First Line : 100 COLUMBIA ST
Second Line :
City : ORLANDO
State : FL
Zip : 32806-1006
Country : US
Telephone Number : 407-245-0014
Fax Number : 407-245-0015
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 07/09/2007

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