Organization
LINDA E SCOTT PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA E SCOTT PHD (OWNER)
(804) 526-0220
Entity
Organization
Contact information
Practice address
320 C CHARLES DIMMOCK PARKWAY, COLONIAL HEIGHTS, VA 23834
(804) 526-0220
(804) 526-0224
Mailing address
PO BOX 639, PRINCE GEORGE, VA 23875-0639
(804) 526-0220
(804) 526-0224
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C10417
MEDICARE GROUP PTAN
VA
Enumeration date
01/17/2008
Last updated
06/23/2008
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