Individual
DR. MICHAEL ALLEN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
540 E 1ST ST, WACONIA, MN 55387-1601
(952) 442-4437
(952) 442-3084
Mailing address
540 E 1ST ST, WACONIA, MN 55387-1601
(952) 442-4437
(952) 442-3084
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2561
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0367054
PREFERRED ONE
MN
01
—
115166
U-CARE
MN
01
—
44G78SC
BLUE CROSS BLUE SHIELD
MN
01
—
6167872
UBH MEDICA
MN
05
—
678250700
—
MN
01
—
HP 11407
HEALTH PARTNERS
MN
Enumeration date
08/15/2005
Last updated
02/19/2014
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