Provider Demographics
NPI:1184642803
Name:SCOTT, NANCY LUREE (PHD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:LUREE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:COOKE (OR) SCOTT-SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:3070 HARRODSBURG RD
Mailing Address - Street 2:#214
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-2763
Mailing Address - Country:US
Mailing Address - Phone:859-224-4004
Mailing Address - Fax:859-224-4008
Practice Address - Street 1:3070 HARRODSBURG RD
Practice Address - Street 2:#214
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2763
Practice Address - Country:US
Practice Address - Phone:859-224-4004
Practice Address - Fax:859-224-4008
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1215103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY89000491Medicaid
KY3017401Medicare ID - Type Unspecified
KY89000491Medicaid