MRS. KIM SCOTT ED.D NPI 1053639583

NPI Information

NPI: 1053639583
Provider Name: MRS. KIM SCOTT, ED.D
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
15643 DOBBS PEAK LN
FONTANA, CA
ZIP 92336
Phone: (951) 536-7845
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MRS. Kim Scott, ED.D is an addiction (substance use disorder) counselor in Fontana, CA. MRS. Kim Scott, ED.D NPI is 1053639583. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15643 DOBBS PEAK LN
FONTANA, CA
ZIP 92336-560
Phone: (951) 536-7845

The enumeration date for this NPI number is 5/7/2010 and was last updated on 5/7/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YS0200X	Counselor	School	070104802	CALIFORNIA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1538-061511P	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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