Individual
MR. SCOTT R BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4210 ABERDEEN CT, NEW ALBANY, IN 47150
(812) 510-3727
Mailing address
4210 ABERDEEN CT, NEW ALBANY, IN 47150-9690
(812) 510-3727
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
163555
KY
101YM0800X
Mental Health Counselor
39001752A
IN
103TC0700X
Clinical Psychologist
130408
KY
103TC0700X
Clinical Psychologist
Primary
20042200A
IN
Other
Enumeration date
12/01/2006
Last updated
09/13/2018
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