Provider Demographics
NPI:1073802088
Name:SCOTT, ELEANOR KATHLEEN (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:ELEANOR
Middle Name:KATHLEEN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:ELLE
Other - Middle Name:
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LMFT
Mailing Address - Street 1:17705 HALE AVE STE F4
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-4349
Mailing Address - Country:US
Mailing Address - Phone:408-659-6887
Mailing Address - Fax:
Practice Address - Street 1:17705 HALE AVE STE F4
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-4349
Practice Address - Country:US
Practice Address - Phone:408-659-6887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-30
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF60404101YM0800X
CALMFT78383106H00000X
CA78383106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health