Individual
MR. SCOTT RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
S.S.P
Contact information
Practice address
5151 W 14TH ST, SPEEDWAY, IN 46224-6410
(317) 486-4855
(317) 486-4845
Mailing address
5151 W 14TH ST, SPEEDWAY, IN 46224-6410
(317) 486-4855
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1100452
IN
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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