Individual
KYLE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
128 N COURT AVE, GAYLORD, MI 49735-1408
(989) 448-8344
Mailing address
128 N COURT AVE, GAYLORD, MI 49735-1408
(989) 448-8344
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362009341
MI
Other
Enumeration date
08/07/2021
Last updated
08/07/2021
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