Individual
DR. MICHAEL JOHN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D., ABN
Contact information
Practice address
414 SE 3RD TER, DANIA BEACH, FL 33004-4708
(786) 202-6273
Mailing address
414 SE 3RD TER, DANIA BEACH, FL 33004-4708
(786) 202-6273
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
13211
—
103G00000X
Clinical Neuropsychologist
NY011875-1
NY
103G00000X
Clinical Neuropsychologist
Primary
PY5960
FL
103T00000X
Psychologist
13211
—
103TC0700X
Clinical Psychologist
13211
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13211
PSYPACT APIT
—
Enumeration date
12/22/2006
Last updated
03/26/2025
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