Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 522 | KS |
Y | 103T00000X | Psychologist | 522 | KS |
NPI | 1013050327 |
---|---|
Provider Name | Dr. Laura M Scott |
First Address | Overland Park, KS 66204-2035 |
Second Address | Overland Park, KS 66204-2035 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2007 |
Last Update Date | 12/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
08929010 | BCBS (01) | KS |