Individual
DR. DOROTHY SCATTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5236
Mailing address
2500 N STATE ST, CBO-SUITE 4200, JACKSON, MS 39216-4500
(601) 984-5236
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
43-703
MS
208000000X
Pediatrics Physician
43703
MS
2080P0006X
Developmental - Behavioral Pediatrics Physician
43703
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05609521
—
MS
Enumeration date
07/04/2006
Last updated
09/28/2020
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