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Individual

MEGAN NICOLE SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
225 E CHICAGO AVE # 10B, CHICAGO, IL 60611-2991
(312) 227-6007
Mailing address
225 E CHICAGO AVE # 10B, CHICAGO, IL 60611-2991
(312) 227-6007

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071.008190
IL
103TC0700X
Clinical Psychologist
071.008190
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
071.0088190
LICENSE
IL
Enumeration date
10/17/2011
Last updated
03/14/2022
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