Individual
JACQUELINE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5275 KENTUCKY AVE, INDIANAPOLIS, IN 46221-3616
(317) 856-6363
Mailing address
3901 FISHER RD, INDIANAPOLIS, IN 46239-1312
(317) 361-2952
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10247989
IN
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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