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NPI Code Detail

MEDICARE: MS. ROXANA PRINCE SCOTT MS, LPC

MEDICARE: MS. ROXANA PRINCE SCOTT MS, LPC
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 Counselor6041018282MI

General Provider Information

NPI Number : 1952707507
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROXANA PRINCE SCOTT MS, LPC
Provider Business Mailing Address
First Line : 400 PLYMOUTH RD APT L4
Second Line :
City : PLYMOUTH
State : MI
Zip : 48170-1463
Country : US
Telephone Number : 734-674-8548
Fax Number :
Provider Business Practice Location Address
First Line : 3646 MOUNT ELLIOTT ST
Second Line :
City : DETROIT
State : MI
Zip : 48207-2311
Country : US
Telephone Number : 313-348-5507
Fax Number : 313-924-0605
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2014
Last Update Date : 12/01/2020

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