Individual
DR. SCOTT JERAULD ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
18 CONSTITUTION DR STE 1, BEDFORD, NH 03110-6076
(303) 898-9347
Mailing address
18 CONSTITUTION DR STE 1, BEDFORD, NH 03110-6076
(303) 898-9347
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00015
NH
103TC0700X
Clinical Psychologist
2872
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00015
STATE LICENSE
NH
05
—
00983021
—
CO
01
—
2872
STATE LICENSE
CO
01
—
P01003583
RAILROAD MEDICARE
—
Enumeration date
01/21/2009
Last updated
03/24/2021
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