Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 21874847 | OH |
NPI | 1073127007 |
---|---|
Provider Name | Callie Scott |
First Address | Parma, OH 44134-6599 |
Second Address | Parma, OH 44134-6599 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2020 |
Last Update Date | 08/09/2020 |