Individual
TERRI ANN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
911 BALDWIN RD, SUITE A, LAPEER, MI 48446-3738
(810) 441-4239
Mailing address
PO BOX 182, NORTH BRANCH, MI 48461-0182
(810) 441-4239
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008834
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68-0-D4-1034-0
BLUE CROSS BLUE SHIELD PIN
MI
Enumeration date
02/22/2008
Last updated
09/11/2012
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