MEDICARE: ARTHUR ANDREW SCOTSON LCSW

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	1041C0700X	Clinical Social Worker	6628477-3502	UT

General Provider Information

NPI Number	:	1790017168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR ANDREW SCOTSON LCSW

Provider Business Mailing Address
First Line	:	1 E CENTER ST STE 207
Second Line	:
City	:	PROVO
State	:	UT
Zip	:	84606-3153
Country	:	US
Telephone Number	:	385-325-0755
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 E CENTER ST STE 207
Second Line	:
City	:	PROVO
State	:	UT
Zip	:	84606-3153
Country	:	US
Telephone Number	:	385-325-0755
Fax Number	:

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

Provider Enumeration Date	:	02/09/2010
Last Update Date	:	07/21/2022

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