Provider Demographics
NPI:1427556059
Name:SCOTT, MELANIE (CMHC)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3816 S 2520 W
Mailing Address - Street 2:
Mailing Address - City:WEST VALLEY
Mailing Address - State:UT
Mailing Address - Zip Code:84119-4622
Mailing Address - Country:US
Mailing Address - Phone:801-703-3402
Mailing Address - Fax:
Practice Address - Street 1:3816 S 2520 W
Practice Address - Street 2:
Practice Address - City:WEST VALLEY
Practice Address - State:UT
Practice Address - Zip Code:84119-4622
Practice Address - Country:US
Practice Address - Phone:801-703-3402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-29
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7759332-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health