Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | 3356 | CT |
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 3356 | CT |
N | 103TS0200X | School Psychologist | 3356 | CT |
NPI | 1003395294 |
---|---|
Provider Name | Dr. Cindy R. Scope |
First Address | Westport, CT 06880-5119 |
Second Address | Westport, CT 06880-4319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2018 |
Last Update Date | 09/08/2018 |