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NPI Code Detail

MEDICARE: SCOTT ROBERTS

MEDICARE: SCOTT ROBERTS
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
1101YP2500XProfessional Counselor70376TX

General Provider Information

NPI Number : 1881126167
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT ROBERTS
Provider Business Mailing Address
First Line : 12335 HYMEADOW DR STE 300
Second Line :
City : AUSTIN
State : TX
Zip : 78750-1935
Country : US
Telephone Number : 512-537-4054
Fax Number :
Provider Business Practice Location Address
First Line : 12335 HYMEADOW DR STE 300
Second Line :
City : AUSTIN
State : TX
Zip : 78750-1935
Country : US
Telephone Number : 512-537-4054
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2017
Last Update Date : 03/28/2017

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Directions to “ SCOTT ROBERTS ” Practice Location

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