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Individual

JOHN A SCOTT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
EDD

Contact information

Practice address
11059 E BETHANY DR, SUITE 200, AURORA, CO 80014-2622
(303) 617-2332
Mailing address
6481 REDWING PL, LONGMONT, CO 80503-8720
(720) 341-2054

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2704
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01176593
CO
Enumeration date
10/13/2006
Last updated
04/03/2017
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