Provider Demographics
NPI:1356464283
Name:MAYERS, SCOTT DORIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:DORIAN
Last Name:MAYERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 SAINT LANDRY ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-3534
Mailing Address - Country:US
Mailing Address - Phone:337-453-3050
Mailing Address - Fax:337-234-9070
Practice Address - Street 1:216 SAINT LANDRY ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-3534
Practice Address - Country:US
Practice Address - Phone:337-453-3050
Practice Address - Fax:337-234-0907
Is Sole Proprietor?:No
Enumeration Date:2007-04-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.2020662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1887307Medicaid
LA1887307Medicaid