Individual
DR. SCOTT JERAULD ADAMS
Active
Individual
DR. SCOTT JERAULD ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
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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