Provider Demographics
NPI:1326473513
Name:STEVENSON-SCOTT, DEBRA LOUISE
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:LOUISE
Last Name:STEVENSON-SCOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DEBBIE
Other - Middle Name:
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:729 CRYSTAL SPRINGS LN N
Mailing Address - Street 2:
Mailing Address - City:KEIZER
Mailing Address - State:OR
Mailing Address - Zip Code:97303-3799
Mailing Address - Country:US
Mailing Address - Phone:503-463-6940
Mailing Address - Fax:
Practice Address - Street 1:729 CRYSTAL SPRINGS LN N
Practice Address - Street 2:
Practice Address - City:KEIZER
Practice Address - State:OR
Practice Address - Zip Code:97303-3799
Practice Address - Country:US
Practice Address - Phone:503-463-6940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-06
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst