Provider Demographics
NPI:1083984355
Name:SCOTT, DORIS EMELDA (APRN/PMH)
Entity Type:Individual
Prefix:DR
First Name:DORIS
Middle Name:EMELDA
Last Name:SCOTT
Suffix:
Gender:F
Credentials:APRN/PMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8122 SCOTTS LEVEL RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-2226
Mailing Address - Country:US
Mailing Address - Phone:410-655-5016
Mailing Address - Fax:
Practice Address - Street 1:8122 SCOTTS LEVEL RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-2226
Practice Address - Country:US
Practice Address - Phone:410-655-5016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR042556101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health